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International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

A00 Cholera

A00.0 Cholera due to Vibrio cholerae 01, biovar cholerae
Incl.:
Classical cholera
A00.1 Cholera due to Vibrio cholerae 01, biovar eltor
Incl.:
Cholera eltor
A00.9 Cholera, unspecified

A01 Typhoid and paratyphoid fevers

A01.0 Typhoid fever
Incl.:
Infection due to Salmonella typhi
A01.1 Paratyphoid fever A
A01.2 Paratyphoid fever B
A01.3 Paratyphoid fever C
A01.4 Paratyphoid fever, unspecified
Incl.:
Infection due to Salmonella paratyphi NOS

A02 Other salmonella infections

Incl.:
infection or foodborne intoxication due to any Salmonella species other than S. typhi and S. paratyphi
A02.0 Salmonella enteritis
Incl.:
Salmonellosis
A02.1 Salmonella sepsis
A02.2 Localized salmonella infections
Incl.:
Salmonella:
A02.8 Other specified salmonella infections
A02.9 Salmonella infection, unspecified

A03 Shigellosis

A03.0 Shigellosis due to Shigella dysenteriae
Incl.:
Group A shigellosis [Shiga-Kruse dysentery]
A03.1 Shigellosis due to Shigella flexneri
Incl.:
Group B shigellosis
A03.2 Shigellosis due to Shigella boydii
Incl.:
Group C shigellosis
A03.3 Shigellosis due to Shigella sonnei
Incl.:
Group D shigellosis
A03.8 Other shigellosis
A03.9 Shigellosis, unspecified
Incl.:
Bacillary dysentery NOS

A04 Other bacterial intestinal infections

Excl.:
foodborne intoxications elsewhere classified
tuberculous enteritis (A18.3)
A04.0 Enteropathogenic Escherichia coli infection
A04.1 Enterotoxigenic Escherichia coli infection
A04.2 Enteroinvasive Escherichia coli infection
A04.3 Enterohaemorrhagic Escherichia coli infection
A04.4 Other intestinal Escherichia coli infections
Incl.:
Escherichia coli enteritis NOS
A04.5 Campylobacter enteritis
A04.6 Enteritis due to Yersinia enterocolitica
Excl.:
extraintestinal yersiniosis (A28.2)
A04.7 Enterocolitis due to Clostridium difficile
Incl.:
Foodborne intoxication by Clostridium difficile
Pseudomembranous colitis
A04.8 Other specified bacterial intestinal infections
A04.9 Bacterial intestinal infection, unspecified
Incl.:
Bacterial enteritis NOS

A05 Other bacterial foodborne intoxications, not elsewhere classified

Excl.:
Clostridium difficile foodborne intoxication and infection (A04.7)
Escherichia coli infection (A04.0-A04.4)
listeriosis (A32.-)
salmonella foodborne intoxication and infection (A02.-)
toxic effect of noxious foodstuffs (T61-T62)
A05.0 Foodborne staphylococcal intoxication
A05.1 Botulism
Incl.:
Classical foodborne intoxication due to Clostridium botulinum
A05.2 Foodborne Clostridium perfringens [Clostridium welchii] intoxication
Incl.:
Enteritis necroticans
Pig-bel
A05.3 Foodborne Vibrio parahaemolyticus intoxication
A05.4 Foodborne Bacillus cereus intoxication
A05.8 Other specified bacterial foodborne intoxications
A05.9 Bacterial foodborne intoxication, unspecified

A06 Amoebiasis

Incl.:
infection due to Entamoeba histolytica
Excl.:
other protozoal intestinal diseases (A07.-)
A06.0 Acute amoebic dysentery
Incl.:
Acute amoebiasis
Intestinal amoebiasis NOS
A06.1 Chronic intestinal amoebiasis
A06.2 Amoebic nondysenteric colitis
A06.3 Amoeboma of intestine
Incl.:
Amoeboma NOS
A06.4† Amoebic liver abscess (K77.0*)
Incl.:
Hepatic amoebiasis
A06.5† Amoebic lung abscess (J99.8*)
Incl.:
Amoebic abscess of lung (and liver)
A06.6† Amoebic brain abscess (G07*)
Incl.:
Amoebic abscess of brain (and liver)(and lung)
A06.7 Cutaneous amoebiasis
A06.8 Amoebic infection of other sites
Incl.:
Amoebic:
  • appendicitis
  • balanitis† (N51.2*)
A06.9 Amoebiasis, unspecified

A07 Other protozoal intestinal diseases

A07.0 Balantidiasis
Incl.:
Balantidial dysentery
A07.1 Giardiasis [lambliasis]
A07.2 Cryptosporidiosis
A07.3 Isosporiasis
Incl.:
Infection due to Isospora belli and Isospora hominis
Intestinal coccidiosis
Isosporosis
A07.8 Other specified protozoal intestinal diseases
Incl.:
Intestinal trichomoniasis
Sarcocystosis
Sarcosporidiosis
A07.9 Protozoal intestinal disease, unspecified
Incl.:
Flagellate diarrhoea
Protozoal:
  • colitis
  • diarrhoea
  • dysentery

A08 Viral and other specified intestinal infections

Excl.:
influenza with involvement of gastrointestinal tract (J09, J10.8, J11.8)
A08.0 Rotaviral enteritis
A08.1 Acute gastroenteropathy due to Norwalk agent
Incl.:
Small round structured virus enteritis
A08.2 Adenoviral enteritis
A08.3 Other viral enteritis
A08.4 Viral intestinal infection, unspecified
Incl.:
Viral:
  • enteritis NOS
  • gastroenteritis NOS
  • gastroenteropathy NOS
A08.5 Other specified intestinal infections

A09 Other gastroenteritis and colitis of infectious and unspecified origin

Excl.:
due to bacterial, protozoal, viral and other specified infectious agents (A00-A08)
noninfective (see noninfectious) diarrhoea (K52.9)
noninfective (see noninfectious) diarrhoea
A09.0 Other and unspecified gastroenteritis and colitis of infectious origin
Incl.:
Catarrh, enteric or intestinal
Diarrhoea:
  • acute bloody
  • acute haemorrhagic
  • acute watery
  • dysenteric
  • epidemic
  • Infectious or septic
    • colitis
    • enteritis
    • gastroenteritis
  • NOS
  • haemorrhagic
Infectious diarrhoea NOS
A09.9 Gastroenteritis and colitis of unspecified origin
Incl.:
Neonatal diarrhoea NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

Tuberculosis
(A15-A19)

Incl.:
infections due to Mycobacterium tuberculosis and Mycobacterium bovis
Excl.:
congenital tuberculosis (P37.0)
human immunodeficieny [HIV] disease resulting in tuberculosis (B20.0)
pneumoconiosis associated with tuberculosis (J65)
sequelae of tuberculosis (B90.-)
silicotuberculosis (J65)

A15 Respiratory tuberculosis, bacteriologically and histologically confirmed

A15.0 Tuberculosis of lung, confirmed by sputum microscopy with or without culture
Incl.:
  • Tuberculous:
    • bronchiectasis
    • fibrosis of lung
    • pneumonia
    • pneumothorax
  • confirmed by sputum microscopy with or without culture
A15.1 Tuberculosis of lung, confirmed by culture only
Incl.:
Conditions listed in A15.0, confirmed by culture only
A15.2 Tuberculosis of lung, confirmed histologically
Incl.:
Conditions listed in A15.0, confirmed histologically
A15.3 Tuberculosis of lung, confirmed by unspecified means
Incl.:
Conditions listed in A15.0, confirmed but unspecified whether bacteriologically or histologically
A15.4 Tuberculosis of intrathoracic lymph nodes, confirmed bacteriologically and histologically
Incl.:
  • Tuberculosis of lymph nodes:
    • hilar
    • mediastinal
    • tracheobronchial
  • confirmed bacteriologically and histologically
Excl.:
specified as primary (A15.7)
A15.5 Tuberculosis of larynx, trachea and bronchus, confirmed bacteriologically and histologically
Incl.:
  • Tuberculosis of:
    • bronchus
    • glottis
    • larynx
    • trachea
  • confirmed bacteriologically and histologically
A15.6 Tuberculous pleurisy, confirmed bacteriologically and histologically
Incl.:
  • Tuberculosis of pleura
  • Tuberculous empyema
  • confirmed bacteriologically and histologically
Excl.:
in primary respiratory tuberculosis, confirmed bacteriologically and histologically (A15.7)
A15.7 Primary respiratory tuberculosis, confirmed bacteriologically and histologically
A15.8 Other respiratory tuberculosis, confirmed bacteriologically and histologically
Incl.:
  • Mediastinal tuberculosis
  • Nasopharyngeal tuberculosis
  • Tuberculosis of:
    • nose
    • sinus [any nasal]
  • confirmed bacteriologically and histologically
A15.9 Respiratory tuberculosis unspecified, confirmed bacteriologically and histologically

A16 Respiratory tuberculosis, not confirmed bacteriologically or histologically

A16.0 Tuberculosis of lung, bacteriologically and histologically negative
Incl.:
  • Tuberculous:
    • bronchiectasis
    • fibrosis of lung
    • pneumonia
    • pneumothorax
  • bacteriologically and histologically negative
A16.1 Tuberculosis of lung, bacteriological and histological examination not done
Incl.:
Conditions listed in A16.0, bacteriological and histological examination not done
A16.2 Tuberculosis of lung, without mention of bacteriological or histological confirmation
Incl.:
  • Tuberculosis of lung
  • Tuberculous:
    • bronchiectasis
    • fibrosis of lung
    • pneumonia
    • pneumothorax
  • NOS (without mention of bacteriological or histological confirmation)
A16.3 Tuberculosis of intrathoracic lymph nodes, without mention of bacteriological or histological confirmation
Incl.:
  • Tuberculosis of lymph nodes:
    • hilar
    • intrathoracic
    • mediastinal
    • tracheobronchial
  • NOS (without mention of bacteriological or histological confirmation)
Excl.:
when specified as primary (A16.7)
A16.4 Tuberculosis of larynx, trachea and bronchus, without mention of bacteriological or histological confirmation
Incl.:
  • Tuberculosis of:
    • bronchus
    • glottis
    • larynx
    • trachea
  • NOS (without mention of bacteriological or histological confirmation)
A16.5 Tuberculous pleurisy, without mention of bacteriological or histological confirmation
Incl.:
  • Tuberculosis of pleura
  • Tuberculous:
    • empyema
    • pleurisy
  • NOS (without mention of bacteriological or histological confirmation)
Excl.:
in primary respiratory tuberculosis (A16.7)
A16.7 Primary respiratory tuberculosis without mention of bacteriological or histological confirmation
Incl.:
Primary:
  • respiratory tuberculosis NOS
  • tuberculous complex
A16.8 Other respiratory tuberculosis, without mention of bacteriological or histological confirmation
Incl.:
  • Mediastinal tuberculosis
  • Nasopharyngeal tuberculosis
  • Tuberculosis of:
    • nose
    • sinus [any nasal]
  • NOS (without mention of bacteriological or histological confirmation)
A16.9 Respiratory tuberculosis unspecified, without mention of bacteriological or histological confirmation
Incl.:
Respiratory tuberculosis NOS
Tuberculosis NOS

A17† Tuberculosis of nervous system

A17.0† Tuberculous meningitis (G01*)
Incl.:
Tuberculosis of meninges (cerebral)(spinal)
Tuberculous leptomeningitis
A17.1† Meningeal tuberculoma (G07*)
Incl.:
Tuberculoma of meninges
A17.8† Other tuberculosis of nervous system
Incl.:
  • Tuberculoma
  • Tuberculosis
  • of
Tuberculous:
A17.9† Tuberculosis of nervous system, unspecified (G99.8*)

A18 Tuberculosis of other organs

A18.0† Tuberculosis of bones and joints
Incl.:
Tuberculosis of:
Tuberculous:
A18.1† Tuberculosis of genitourinary system
Incl.:
Tuberculosis of:
Tuberculous female pelvic inflammatory disease† (N74.1*)
A18.2 Tuberculous peripheral lymphadenopathy
Incl.:
Tuberculous adenitis
Excl.:
tuberculosis of lymph nodes:
tuberculous tracheobronchial adenopathy (A15.4, A16.3)
A18.3 Tuberculosis of intestines, peritoneum and mesenteric glands
Incl.:
Tuberculosis (of):
  • anus and rectum† (K93.0*)
  • intestine (large)(small)† (K93.0*)
  • retroperitoneal (lymph nodes)
Tuberculous:
A18.4 Tuberculosis of skin and subcutaneous tissue
Incl.:
Erythema induratum, tuberculous
Lupus:
  • exedens
  • vulgaris:
Scrofuloderma
Excl.:
lupus erythematosus (L93.-)
lupus erythematosus
A18.5 Tuberculosis of eye
Incl.:
Tuberculous:
  • chorioretinitis† (H32.0*)
  • episcleritis† (H19.0*)
  • interstitial keratitis† (H19.2*)
  • iridocyclitis† (H22.0*)
  • keratoconjunctivitis (interstitial)(phlyctenular)† (H19.2*)
Excl.:
lupus vulgaris of eyelid (A18.4)
A18.6 Tuberculosis of ear
Incl.:
Tuberculous otitis media† (H67.0*)
Excl.:
tuberculous mastoiditis (A18.0†)
A18.7† Tuberculosis of adrenal glands (E35.1*)
Incl.:
Addison disease, tuberculous
A18.8 Tuberculosis of other specified organs
Incl.:
Tuberculosis of:
Tuberculous cerebral arteritis† (I68.1*)

A19 Miliary tuberculosis

Incl.:
tuberculosis:
  • disseminated
  • generalized
tuberculous polyserositis
A19.0 Acute miliary tuberculosis of a single specified site
A19.1 Acute miliary tuberculosis of multiple sites
A19.2 Acute miliary tuberculosis, unspecified
A19.8 Other miliary tuberculosis
A19.9 Miliary tuberculosis, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

A20 Plague

Incl.:
infection due to Yersinia pestis
A20.0 Bubonic plague
A20.1 Cellulocutaneous plague
A20.2 Pneumonic plague
A20.3 Plague meningitis
A20.7 Septicaemic plague
A20.8 Other forms of plague
Incl.:
Abortive plague
Asymptomatic plague
Pestis minor
A20.9 Plague, unspecified

A21 Tularaemia

Incl.:
deer-fly fever
infection due to Francisella tularensis
rabbit fever
A21.0 Ulceroglandular tularaemia
A21.1 Oculoglandular tularaemia
Incl.:
Ophthalmic tularaemia
A21.2 Pulmonary tularaemia
A21.3 Gastrointestinal tularaemia
Incl.:
Abdominal tularaemia
A21.7 Generalized tularaemia
A21.8 Other forms of tularaemia
A21.9 Tularaemia, unspecified

A22 Anthrax

Incl.:
infection due to Bacillus anthracis
A22.0 Cutaneous anthrax
Incl.:
Malignant:
  • carbuncle
  • pustule
A22.1 Pulmonary anthrax
Incl.:
Inhalation anthrax
Ragpicker disease
Woolsorter disease
A22.2 Gastrointestinal anthrax
A22.7 Anthrax sepsis
A22.8 Other forms of anthrax
Incl.:
Anthrax meningitis† (G01*)
A22.9 Anthrax, unspecified

A23 Brucellosis

Incl.:
fever:
  • Malta
  • Mediterranean
  • undulant
A23.0 Brucellosis due to Brucella melitensis
A23.1 Brucellosis due to Brucella abortus
A23.2 Brucellosis due to Brucella suis
A23.3 Brucellosis due to Brucella canis
A23.8 Other brucellosis
A23.9 Brucellosis, unspecified

A24 Glanders and melioidosis

A24.0 Glanders
Incl.:
Infection due to Pseudomonas mallei
Infection due to Burkholderia mallei
Malleus
A24.1 Acute and fulminating melioidosis
Incl.:
Melioidosis:
  • pneumonia
  • sepsis
A24.2 Subacute and chronic melioidosis
A24.3 Other melioidosis
A24.4 Melioidosis, unspecified
Incl.:
Infection due to Pseudomonas pseudomallei NOS
Infection due to Burkholderia pseudomallei NOS
Whitmore disease

A25 Rat-bite fevers

A25.0 Spirillosis
Incl.:
Sodoku
A25.1 Streptobacillosis
Incl.:
Epidemic arthritic erythema
Haverhill fever
Streptobacillary rat-bite fever
A25.9 Rat-bite fever, unspecified

A26 Erysipeloid

A26.0 Cutaneous erysipeloid
Incl.:
Erythema migrans
A26.7 Erysipelothrix sepsis
A26.8 Other forms of erysipeloid
A26.9 Erysipeloid, unspecified

A27 Leptospirosis

A27.0 Leptospirosis icterohaemorrhagica
Incl.:
Leptospirosis due to Leptospira interrogans serovar icterohaemorrhagiae
A27.8 Other forms of leptospirosis
A27.9 Leptospirosis, unspecified

A28 Other zoonotic bacterial diseases, not elsewhere classified

A28.0 Pasteurellosis
A28.1 Cat-scratch disease
Incl.:
Cat-scratch fever
A28.2 Extraintestinal yersiniosis
Excl.:
enteritis due to Yersinia enterocolitica (A04.6)
plague (A20.-)
A28.8 Other specified zoonotic bacterial diseases, not elsewhere classified
A28.9 Zoonotic bacterial disease, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

A30 Leprosy [Hansen disease]

Incl.:
infection due to Mycobacterium leprae
Excl.:
sequelae of leprosy (B92)
A30.0 Indeterminate leprosy
Incl.:
I leprosy
A30.1 Tuberculoid leprosy
Incl.:
TT leprosy
A30.2 Borderline tuberculoid leprosy
Incl.:
BT leprosy
A30.3 Borderline leprosy
Incl.:
BB leprosy
A30.4 Borderline lepromatous leprosy
Incl.:
BL leprosy
A30.5 Lepromatous leprosy
Incl.:
LL leprosy
A30.8 Other forms of leprosy
A30.9 Leprosy, unspecified

A31 Infection due to other mycobacteria

Excl.:
leprosy (A30.-)
tuberculosis (A15-A19)
A31.0 Pulmonary mycobacterial infection
Incl.:
Infection due to Mycobacterium:
  • avium
  • intracellulare [Battey bacillus]
  • kansasii
A31.1 Cutaneous mycobacterial infection
Incl.:
Buruli ulcer
Infection due to Mycobacterium:
  • marinum
  • ulcerans
A31.8 Other mycobacterial infections
A31.9 Mycobacterial infection, unspecified
Incl.:
Atypical mycobacterium infection NOS
Mycobacteriosis NOS

A32 Listeriosis

Incl.:
listerial foodborne infection
Excl.:
neonatal (disseminated) listeriosis (P37.2)
A32.0 Cutaneous listeriosis
A32.1† Listerial meningitis and meningoencephalitis
Incl.:
Listerial:
A32.7 Listerial sepsis
A32.8 Other forms of listeriosis
Incl.:
Listerial:
Oculoglandular listeriosis
A32.9 Listeriosis, unspecified

A33 Tetanus neonatorum

A34 Obstetrical tetanus

A35 Other tetanus

Incl.:
Tetanus NOS
Excl.:
tetanus:
  • neonatorum (A33)
  • obstetrical (A34)

A36 Diphtheria

A36.0 Pharyngeal diphtheria
Incl.:
Diphtheritic membranous angina
Tonsillar diphtheria
A36.1 Nasopharyngeal diphtheria
A36.2 Laryngeal diphtheria
Incl.:
Diphtheritic laryngotracheitis
A36.3 Cutaneous diphtheria
Excl.:
erythrasma (L08.1)
A36.8 Other diphtheria
Incl.:
Diphtheritic:
A36.9 Diphtheria, unspecified

A37 Whooping cough

A37.0 Whooping cough due to Bordetella pertussis
A37.1 Whooping cough due to Bordetella parapertussis
A37.8 Whooping cough due to other Bordetella species
A37.9 Whooping cough, unspecified

A38 Scarlet fever

Incl.:
Scarlatina
Excl.:
streptococcal sore throat (J02.0)

A39 Meningococcal infection

A39.0† Meningococcal meningitis (G01*)
A39.1† Waterhouse-Friderichsen syndrome (E35.1*)
Incl.:
Meningococcal haemorrhagic adrenalitis
Meningococcic adrenal syndrome
A39.2 Acute meningococcaemia
A39.3 Chronic meningococcaemia
A39.4 Meningococcaemia, unspecified
Incl.:
Meningococcal bacteraemia NOS
A39.5† Meningococcal heart disease
Incl.:
Meningococcal:
A39.8 Other meningococcal infections
Incl.:
Meningococcal:
Postmeningococcal arthritis† (M03.0*)
A39.9 Meningococcal infection, unspecified
Incl.:
Meningococcal disease NOS

A40 Streptococcal sepsis

Coding-Hint
Use additional code (R57.2) if desired, to identify septic shock.
Excl.:
during labour (O75.3)
following:
  • abortion or ectopic or molar pregnancy (O03-O07, O08.0)
  • immunization (T88.0)
  • infusion, transfusion or therapeutic injection (T80.2)
neonatal (P36.0-P36.1)
postprocedural (T81.4)
puerperal (O85)
A40.0 Sepsis due to streptococcus, group A
A40.1 Sepsis due to streptococcus, group B
A40.2 Sepsis due to streptococcus, group D
A40.3 Sepsis due to Streptococcus pneumoniae
Incl.:
Pneumococcal sepsis
A40.8 Other streptococcal sepsis
A40.9 Streptococcal sepsis, unspecified

A41 Other sepsis

Coding-Hint
Use additional code (R57.2) if desired, to identify septic shock.
Excl.:
bacteraemia NOS (A49.9)
during labour (O75.3)
following:
  • abortion or ectopic or molar pregnancy (O03-O07, O08.0)
  • immunization (T88.0)
  • infusion, transfusion or therapeutic injection (T80.2)
sepsis (due to)(in):
septic:
toxic shock syndrome (A48.3)
A41.0 Sepsis due to Staphylococcus aureus
A41.1 Sepsis due to other specified staphylococcus
Incl.:
Sepsis due to coagulase-negative staphylococcus
A41.2 Sepsis due to unspecified staphylococcus
A41.3 Sepsis due to Haemophilus influenzae
A41.4 Sepsis due to anaerobes
Excl.:
gas gangrene (A48.0)
A41.5 Sepsis due to other Gram-negative organisms
Incl.:
Gram-negative sepsis NOS
A41.8 Other specified sepsis
A41.9 Sepsis, unspecified
Incl.:
Septicaemia

A42 Actinomycosis

Excl.:
actinomycetoma (B47.1)
A42.0 Pulmonary actinomycosis
A42.1 Abdominal actinomycosis
A42.2 Cervicofacial actinomycosis
A42.7 Actinomycotic sepsis
A42.8 Other forms of actinomycosis
A42.9 Actinomycosis, unspecified

A43 Nocardiosis

A43.0 Pulmonary nocardiosis
A43.1 Cutaneous nocardiosis
A43.8 Other forms of nocardiosis
A43.9 Nocardiosis, unspecified

A44 Bartonellosis

A44.0 Systemic bartonellosis
Incl.:
Oroya fever
A44.1 Cutaneous and mucocutaneous bartonellosis
Incl.:
Verruga peruana
A44.8 Other forms of bartonellosis
A44.9 Bartonellosis, unspecified

A46 Erysipelas

Excl.:
postpartum or puerperal erysipelas (O86.8)

A48 Other bacterial diseases, not elsewhere classified

Excl.:
actinomycetoma (B47.1)
A48.0 Gas gangrene
Incl.:
Clostridial:
  • cellulitis
  • myonecrosis
A48.1 Legionnaires disease
A48.2 Nonpneumonic Legionnaires disease [Pontiac fever]
A48.3 Toxic shock syndrome
Excl.:
endotoxic shock NOS (R57.8)
sepsis NOS (A41.9)
A48.4 Brazilian purpuric fever
Incl.:
Systemic Haemophilus aegyptius infection
A48.8 Other specified bacterial diseases

A49 Bacterial infection of unspecified site

Excl.:
bacterial agents as the cause of diseases classified to other chapters (B95-B96)
chlamydial infection NOS (A74.9)
meningococcal infection NOS (A39.9)
rickettsial infection NOS (A79.9)
spirochaetal infection NOS (A69.9)
A49.0 Staphylococcal infection, unspecified site
A49.1 Streptococcal and enterococcal infection, unspecified site
A49.2 Haemophilus influenzae infection, unspecified site
A49.3 Mycoplasma infection, unspecified site
A49.8 Other bacterial infections of unspecified site
A49.9 Bacterial infection, unspecified
Incl.:
Bacteraemia NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

Infections with a predominantly sexual mode of transmission
(A50-A64)

Excl.:
human immunodeficiency virus [HIV] disease (B20-B24)
nonspecific and nongonococcal urethritis (N34.1)
Reiter disease (M02.3)

A50 Congenital syphilis

A50.0 Early congenital syphilis, symptomatic
Additional Text

Any congenital syphilitic condition specified as early or manifest less than two years after birth.

Incl.:
Early congenital syphilis:
  • cutaneous
  • mucocutaneous
  • visceral
Early congenital syphilitic:
  • laryngitis
  • oculopathy
  • osteochondropathy
  • pharyngitis
  • pneumonia
  • rhinitis
A50.1 Early congenital syphilis, latent
Additional Text

Congenital syphilis without clinical manifestations, with positive serological reaction and negative spinal fluid test, less than two years after birth.

A50.2 Early congenital syphilis, unspecified
Additional Text

Congenital syphilis NOS less than two years after birth.

A50.3 Late congenital syphilitic oculopathy
Incl.:
Late congenital syphilitic interstitial keratitis† (H19.2*)
Late congenital syphilitic oculopathy NEC† (H58.8*)
Excl.:
Hutchinson triad (A50.5)
A50.4 Late congenital neurosyphilis [juvenile neurosyphilis]
Incl.:
Dementia paralytica juvenilis
Juvenile:
  • general paresis
  • tabes dorsalis
  • taboparetic neurosyphilis
Late congenital syphilitic:
Coding-Hint
Use additional code, if desired, to identify any associated mental disorder.
Excl.:
Hutchinson triad (A50.5)
A50.5 Other late congenital syphilis, symptomatic
Additional Text

Any congenital syphilitic condition specified as late or manifest two years or more after birth.

Incl.:
Clutton joints† (M03.1*)
Hutchinson:
  • teeth
  • triad
Late congenital:
  • cardiovascular syphilis† (I98.0*)
  • syphilitic:
Syphilitic saddle nose
A50.6 Late congenital syphilis, latent
Additional Text

Congenital syphilis without clinical manifestations, with positive serological reaction and negative spinal fluid test, two years or more after birth.

A50.7 Late congenital syphilis, unspecified
Additional Text

Congenital syphilis NOS two years or more after birth.

A50.9 Congenital syphilis, unspecified

A51 Early syphilis

A51.0 Primary genital syphilis
Incl.:
Syphilitic chancre NOS
A51.1 Primary anal syphilis
A51.2 Primary syphilis of other sites
A51.3 Secondary syphilis of skin and mucous membranes
Incl.:
Condyloma latum
Syphilitic:
A51.4 Other secondary syphilis
Incl.:
Secondary syphilitic:
  • female pelvic inflammatory disease† (N74.2*)
  • iridocyclitis† (H22.0*)
  • lymphadenopathy
  • meningitis† (G01*)
  • myositis† (M63.0*)
  • oculopathy NEC† (H58.8*)
  • periostitis† (M90.1*)
A51.5 Early syphilis, latent
Additional Text

Syphilis (acquired) without clinical manifestations, with positive serological reaction and negative spinal fluid test, less than two years after infection.

A51.9 Early syphilis, unspecified

A52 Late syphilis

A52.0† Cardiovascular syphilis
Incl.:
Cardiovascular syphilis NOS (I98.0*)
Syphilitic:
A52.1 Symptomatic neurosyphilis
Incl.:
Charcot arthropathy† (M14.6*)
Late syphilitic:
Syphilitic parkinsonism† (G22*)
Tabes dorsalis
A52.2 Asymptomatic neurosyphilis
A52.3 Neurosyphilis, unspecified
Incl.:
  • Gumma (syphilitic)
  • Syphilis (late)
  • Syphiloma
  • of central nervous system NOS
A52.7 Other symptomatic late syphilis
Incl.:
Glomerular disease in syphilis† (N08.0*)
  • Gumma (syphilitic)
  • Late or tertiary syphilis
  • any sites, except those classified to A52.0-A52.3
Late syphilitic:
Syphilis [stage unspecified] of:
A52.8 Late syphilis, latent
Additional Text

Syphilis (acquired) without clinical manifestations, with positive serological reaction and negative spinal fluid test, two years or more after infection.

A52.9 Late syphilis, unspecified

A53 Other and unspecified syphilis

A53.0 Latent syphilis, unspecified as early or late
Incl.:
Latent syphilis NOS
Positive serological reaction for syphilis
A53.9 Syphilis, unspecified
Incl.:
Infection due to Treponema pallidum NOS
Syphilis (acquired) NOS
Excl.:
syphilis NOS causing death under two years of age (A50.2)

A54 Gonococcal infection

A54.0 Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess
Incl.:
Gonococcal:
  • cervicitis NOS
  • cystitis NOS
  • urethritis NOS
  • vulvovaginitis NOS
Excl.:
with:
  • genitourinary gland abscess (A54.1)
  • periurethral abscess (A54.1)
A54.1 Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess
Incl.:
Gonococcal Bartholin gland abscess
A54.2 Gonococcal pelviperitonitis and other gonococcal genitourinary infections
Incl.:
Gonococcal:
Excl.:
gonococcal peritonitis (A54.8)
A54.3 Gonococcal infection of eye
Incl.:
Gonococcal:
Ophthalmia neonatorum due to gonococcus
A54.4† Gonococcal infection of musculoskeletal system
Incl.:
Gonococcal:
A54.5 Gonococcal pharyngitis
A54.6 Gonococcal infection of anus and rectum
A54.8 Other gonococcal infections
Incl.:
Gonococcal:
Excl.:
gonococcal pelviperitonitis (A54.2)
A54.9 Gonococcal infection, unspecified

A55 Chlamydial lymphogranuloma (venereum)

Incl.:
Climatic or tropical bubo
Durand-Nicolas-Favre disease
Esthiomene
Lymphogranuloma inguinale

A56 Other sexually transmitted chlamydial diseases

Incl.:
sexually transmitted diseases due to Chlamydia trachomatis
Excl.:
chlamydial:
  • lymphogranuloma (A55)
  • neonatal:
conditions classified to A74.-
A56.0 Chlamydial infection of lower genitourinary tract
Incl.:
Chlamydial:
  • cervicitis
  • cystitis
  • urethritis
  • vulvovaginitis
A56.1 Chlamydial infection of pelviperitoneum and other genitourinary organs
Incl.:
Chlamydial:
  • epididymitis† (N51.1*)
  • female pelvic inflammatory disease† (N74.4*)
  • orchitis† (N51.1*)
A56.2 Chlamydial infection of genitourinary tract, unspecified
A56.3 Chlamydial infection of anus and rectum
A56.4 Chlamydial infection of pharynx
A56.8 Sexually transmitted chlamydial infection of other sites

A57 Chancroid

Incl.:
Ulcus molle

A58 Granuloma inguinale

Incl.:
Donovanosis

A59 Trichomoniasis

Excl.:
intestinal trichomoniasis (A07.8)
A59.0 Urogenital trichomoniasis
Incl.:
  • Leukorrhoea (vaginalis)
  • Prostatitis† (N51.0*)
  • due to Trichomonas (vaginalis)
A59.8 Trichomoniasis of other sites
A59.9 Trichomoniasis, unspecified

A60 Anogenital herpesviral [herpes simplex] infection

A60.0 Herpesviral infection of genitalia and urogenital tract
Incl.:
Herpesviral infection of genital tract:
A60.1 Herpesviral infection of perianal skin and rectum
A60.9 Anogenital herpesviral infection, unspecified

A63 Other predominantly sexually transmitted diseases, not elsewhere classified

Excl.:
molluscum contagiosum (B08.1)
papilloma of cervix (D26.0)
A63.0 Anogenital (venereal) warts
A63.8 Other specified predominantly sexually transmitted diseases

A64 Unspecified sexually transmitted disease

Incl.:
Venereal disease NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

Other spirochaetal diseases
(A65-A69)

Excl.:
leptospirosis (A27.-)
syphilis (A50-A53)

A65 Nonvenereal syphilis

Incl.:
Bejel
Endemic syphilis
Njovera

A66 Yaws

Incl.:
bouba
framboesia (tropica)
pian
A66.0 Initial lesions of yaws
Incl.:
Chancre of yaws
Framboesia, initial or primary
Initial framboesial ulcer
Mother yaw
A66.1 Multiple papillomata and wet crab yaws
Incl.:
Framboesioma
Pianoma
Plantar or palmar papilloma of yaws
A66.2 Other early skin lesions of yaws
Incl.:
Cutaneous yaws, less than five years after infection
Early yaws (cutaneous) (macular) (maculopapular) (micropapular) (papular)
Framboeside of early yaws
A66.3 Hyperkeratosis of yaws
Incl.:
Ghoul hand
Hyperkeratosis, palmar or plantar (early)(late) due to yaws
Worm-eaten soles
A66.4 Gummata and ulcers of yaws
Incl.:
Gummatous framboeside
Nodular late yaws (ulcerated)
A66.5 Gangosa
Incl.:
Rhinopharyngitis mutilans
A66.6 Bone and joint lesions of yaws
Incl.:
  • Ganglion
  • Hydrarthrosis
  • Osteitis
  • Periostitis (hypertrophic)
  • of yaws (early)(late)
  • Goundou
  • Gumma, bone
  • Gummatous osteitis or periostitis
  • of yaws (late)
A66.7 Other manifestations of yaws
Incl.:
Juxta-articular nodules of yaws
Mucosal yaws
A66.8 Latent yaws
Incl.:
Yaws without clinical manifestations, with positive serology
A66.9 Yaws, unspecified

A67 Pinta [carate]

A67.0 Primary lesions of pinta
Incl.:
  • Chancre (primary)
  • Papule (primary)
  • of pinta [carate]
A67.1 Intermediate lesions of pinta
Incl.:
  • Erythematous plaques
  • Hyperchromic lesions
  • Hyperkeratosis
  • of pinta [carate]
Pintids
A67.2 Late lesions of pinta
Incl.:
Cardiovascular lesions† (I98.1*)
  • Skin lesions:
    • achromic
    • cicatricial
    • dyschromic
  • of pinta [carate]
A67.3 Mixed lesions of pinta
Incl.:
Achromic with hyperchromic skin lesions of pinta [carate]
A67.9 Pinta, unspecified

A68 Relapsing fevers

Incl.:
recurrent fever
Excl.:
Lyme disease (A69.2)
A68.0 Louse-borne relapsing fever
Incl.:
Relapsing fever due to Borrelia recurrentis
A68.1 Tick-borne relapsing fever
Incl.:
Relapsing fever due to any Borrelia species other than Borrelia recurrentis
A68.9 Relapsing fever, unspecified

A69 Other spirochaetal infections

A69.0 Necrotizing ulcerative stomatitis
Incl.:
Cancrum oris
Fusospirochaetal gangrene
Noma
Stomatitis gangrenosa
A69.1 Other Vincent infections
Incl.:
Fusospirochaetal pharyngitis
Necrotizing ulcerative (acute):
  • gingivitis
  • gingivostomatitis
Spirochaetal stomatitis
Trench mouth
Vincent:
  • angina
  • gingivitis
A69.2 Lyme disease
Incl.:
Erythema chronicum migrans due to Borrelia burgdorferi
A69.8 Other specified spirochaetal infections
A69.9 Spirochaetal infection, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

A70 Chlamydia psittaci infection

Incl.:
Ornithosis
Parrot fever
Psittacosis

A71 Trachoma

Excl.:
sequelae of trachoma (B94.0)
A71.0 Initial stage of trachoma
Incl.:
Trachoma dubium
A71.1 Active stage of trachoma
Incl.:
Granular conjunctivitis (trachomatous)
Trachomatous:
  • follicular conjunctivitis
  • pannus
A71.9 Trachoma, unspecified

A74 Other diseases caused by chlamydiae

Excl.:
chlamydial pneumonia (J16.0)
neonatal chlamydial:
sexually transmitted chlamydial diseases (A55-A56)
A74.0† Chlamydial conjunctivitis (H13.1*)
Incl.:
Paratrachoma
A74.8 Other chlamydial diseases
Incl.:
Chlamydial peritonitis† (K67.0*)
A74.9 Chlamydial infection, unspecified
Incl.:
Chlamydiosis NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

A75 Typhus fever

Excl.:
rickettsiosis due to Neorickettsia sennetsu [Ehrlichia sennetsu] (A79.8)
A75.0 Epidemic louse-borne typhus fever due to Rickettsia prowazekii
Incl.:
Classical typhus (fever)
Epidemic (louse-borne) typhus
A75.1 Recrudescent typhus [Brill disease]
Incl.:
Brill-Zinsser disease
A75.2 Typhus fever due to Rickettsia typhi
Incl.:
Murine (flea-borne) typhus
A75.3 Typhus fever due to Rickettsia tsutsugamushi
Incl.:
Scrub (mite-borne) typhus
Tsutsugamushi fever
A75.9 Typhus fever, unspecified
Incl.:
Typhus (fever) NOS

A77 Spotted fever [tick-borne rickettsioses]

A77.0 Spotted fever due to Rickettsia rickettsii
Incl.:
Rocky Mountain spotted fever
Sao Paulo fever
A77.1 Spotted fever due to Rickettsia conorii
Incl.:
African tick typhus
Boutonneuse fever
India tick typhus
Kenya tick typhus
Marseilles fever
Mediterranean tick fever
A77.2 Spotted fever due to Rickettsia sibirica
Incl.:
North Asian tick fever
Siberian tick typhus
A77.3 Spotted fever due to Rickettsia australis
Incl.:
Queensland tick typhus
A77.8 Other spotted fevers
A77.9 Spotted fever, unspecified
Incl.:
Tick-borne typhus NOS

A78 Q fever

Incl.:
Infection due to Coxiella burnetii
Nine Mile fever
Quadrilateral fever

A79 Other rickettsioses

A79.0 Trench fever
Incl.:
Quintan fever
Wolhynian fever
A79.1 Rickettsialpox due to Rickettsia akari
Incl.:
Kew Garden fever
Vesicular rickettsiosis
A79.8 Other specified rickettsioses
Incl.:
Rickettsiosis due to Neorickettsia sennetsu [Ehrlichia sennetsu]
A79.9 Rickettsiosis, unspecified
Incl.:
Rickettsial infection NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

Viral infections of the central nervous system
(A80-A89)

Excl.:
sequelae of:
  • poliomyelitis (B91)
  • viral encephalitis (B94.1)

A80 Acute poliomyelitis

A80.0 Acute paralytic poliomyelitis, vaccine-associated
A80.1 Acute paralytic poliomyelitis, wild virus, imported
A80.2 Acute paralytic poliomyelitis, wild virus, indigenous
A80.3 Acute paralytic poliomyelitis, other and unspecified
A80.4 Acute nonparalytic poliomyelitis
A80.9 Acute poliomyelitis, unspecified

A81 Atypical virus infections of central nervous system

Incl.:
prion diseases of the central nervous system
A81.0 Creutzfeldt-Jakob disease
Incl.:
Subacute spongiform encephalopathy
A81.1 Subacute sclerosing panencephalitis
Incl.:
Dawson inclusion body encephalitis
Van Bogaert sclerosing leukoencephalopathy
A81.2 Progressive multifocal leukoencephalopathy
Incl.:
Multifocal leukoencephalopathy NOS
A81.8 Other atypical virus infections of central nervous system
Incl.:
Kuru
A81.9 Atypical virus infection of central nervous system, unspecified
Incl.:
Prion disease of central nervous system NOS

A82 Rabies

A82.0 Sylvatic rabies
A82.1 Urban rabies
A82.9 Rabies, unspecified

A83 Mosquito-borne viral encephalitis

Incl.:
mosquito-borne viral meningoencephalitis
Excl.:
Venezuelan equine encephalitis (A92.2)
A83.0 Japanese encephalitis
A83.1 Western equine encephalitis
A83.2 Eastern equine encephalitis
A83.3 St Louis encephalitis
A83.4 Australian encephalitis
Incl.:
Kunjin virus disease
A83.5 California encephalitis
Incl.:
California meningoencephalitis
La Crosse encephalitis
A83.6 Rocio virus disease
A83.8 Other mosquito-borne viral encephalitis
A83.9 Mosquito-borne viral encephalitis, unspecified

A84 Tick-borne viral encephalitis

Incl.:
tick-borne viral meningoencephalitis
A84.0 Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis]
A84.1 Central European tick-borne encephalitis
A84.8 Other tick-borne viral encephalitis
Incl.:
Louping ill
Powassan virus disease
A84.9 Tick-borne viral encephalitis, unspecified

A85 Other viral encephalitis, not elsewhere classified

Incl.:
specified viral:
  • encephalomyelitis NEC
  • meningoencephalitis NEC
Excl.:
benign myalgic encephalomyelitis (G93.3)
encephalitis due to:
lymphocytic choriomeningitis (A87.2)
A85.0† Enteroviral encephalitis (G05.1*)
Incl.:
Enteroviral encephalomyelitis
A85.1† Adenoviral encephalitis (G05.1*)
Incl.:
Adenoviral meningoencephalitis
A85.2 Arthropod-borne viral encephalitis, unspecified
A85.8 Other specified viral encephalitis
Incl.:
Encephalitis lethargica
Von Economo-Cruchet disease

A86 Unspecified viral encephalitis

Incl.:
Viral:
  • encephalomyelitis NOS
  • meningoencephalitis NOS

A87 Viral meningitis

Excl.:
meningitis due to:
A87.0† Enteroviral meningitis (G02.0*)
Incl.:
Coxsackievirus meningitis
Echovirus meningitis
A87.1† Adenoviral meningitis (G02.0*)
A87.2 Lymphocytic choriomeningitis
Incl.:
Lymphocytic meningoencephalitis
A87.8 Other viral meningitis
A87.9 Viral meningitis, unspecified

A88 Other viral infections of central nervous system, not elsewhere classified

Excl.:
viral:
  • encephalitis NOS (A86)
  • meningitis NOS (A87.9)
A88.0 Enteroviral exanthematous fever [Boston exanthem]
A88.1 Epidemic vertigo
A88.8 Other specified viral infections of central nervous system

A89 Unspecified viral infection of central nervous system

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

A92 Other mosquito-borne viral fevers

Excl.:
Ross River disease (B33.1)
A92.0 Chikungunya virus disease
Incl.:
Chikungunya (haemorrhagic) fever
A92.1 O'nyong-nyong fever
A92.2 Venezuelan equine fever
Incl.:
Venezuelan equine:
  • encephalitis
  • encephalomyelitis virus disease
A92.3 West Nile virus infection
Incl.:
West Nile fever
A92.4 Rift Valley fever
A92.8 Other specified mosquito-borne viral fevers
A92.9 Mosquito-borne viral fever, unspecified

A93 Other arthropod-borne viral fevers, not elsewhere classified

A93.0 Oropouche virus disease
Incl.:
Oropouche fever
A93.1 Sandfly fever
Incl.:
Pappataci fever
Phlebotomus fever
A93.2 Colorado tick fever
A93.8 Other specified arthropod-borne viral fevers
Incl.:
Piry virus disease
Severe fever with thrombocytopenia syndrome [SFTS]
Vesicular stomatitis virus disease [Indiana fever]

A94 Unspecified arthropod-borne viral fever

Incl.:
Arboviral fever NOS
Arbovirus infection NOS

A95 Yellow fever

A95.0 Sylvatic yellow fever
Incl.:
Jungle yellow fever
A95.1 Urban yellow fever
A95.9 Yellow fever, unspecified

A96 Arenaviral haemorrhagic fever

A96.0 Junin haemorrhagic fever
Incl.:
Argentinian haemorrhagic fever
A96.1 Machupo haemorrhagic fever
Incl.:
Bolivian haemorrhagic fever
A96.2 Lassa fever
A96.8 Other arenaviral haemorrhagic fevers
A96.9 Arenaviral haemorrhagic fever, unspecified

A97 Dengue

Definition
Dengue is a viral disease transmitted by the bite of a mosquito infected by dengue viruses. It is one disease entity with different clinical presentations and often with unpredictable clinical evolution and outcome. Most patients recover following a self-limiting non-severe clinical course like nausea, vomiting, rash, aches and pains, but a small proportion progress to severe disease, mostly characterized by plasma leakage with or without haemorrhage, although severe haemorrhages or severe organ impairment can occur, with or without dengue shock.
A97.0 Dengue without warning signs
Incl.:
Dengue haemorrhagic fever grades 1 and 2
Dengue haemorrhagic fever without warning signs
A97.1 Dengue with warning signs
Definition
Clinical warning signs are: abdominal pain or tenderness, mucosal bleeding, lethargy and /or restlessness, rapid decrease in platelet count, increase in hematocrit. Other signs can include: persistent vomiting, visible fluid accumulation, liver enlargement more than 2 cm.
Incl.:
Dengue haemorrhagic fever with warning signs
A97.2 Severe Dengue
Definition
Clinical signs include: 1. Severe plasma leakage leading to shock (Dengue shock syndrome - DSS) and/or fluid accumulation with respiratory distress; 2. Severe bleeding as evaluated by clinician; 3. Severe organ involvement: Liver AST or ALT >=1000, CNS: impaired consciousness (encephalitis), involvement of other organs, as myocarditis or nephritis
Incl.:
Severe dengue fever
Severe dengue haemorrhagic fever
A97.9 Dengue, unspecified
Incl.:
Dengue fever [DF] NOS

A98 Other viral haemorrhagic fevers, not elsewhere classified

Excl.:
chikungunya haemorrhagic fever (A92.0)
dengue haemorrhagic fever (A97.-)
A98.0 Crimean-Congo haemorrhagic fever
Incl.:
Central Asian haemorrhagic fever
A98.1 Omsk haemorrhagic fever
A98.2 Kyasanur Forest disease
A98.3 Marburg virus disease
A98.4 Ebola virus disease
A98.5 Haemorrhagic fever with renal syndrome
Incl.:
Haemorrhagic fever:
  • epidemic
  • Korean
  • Russian
Hantaan virus disease
Hantaanvirus disease with renal manifestations
Nephropathia epidemica
Excl.:
hantavirus (cardio-)pulmonary syndrome (B33.4†, J17.1*)
A98.8 Other specified viral haemorrhagic fevers

A99 Unspecified viral haemorrhagic fever

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

B00 Herpesviral [herpes simplex] infections

Excl.:
anogenital herpesviral infection (A60.-)
congenital herpesviral infection (P35.2)
gammaherpesviral mononucleosis (B27.0)
herpangina (B08.5)
B00.0 Eczema herpeticum
Incl.:
Kaposi varicelliform eruption
B00.1 Herpesviral vesicular dermatitis
Incl.:
Herpes simplex:
  • facialis
  • labialis
  • Vesicular dermatitis of:
    • ear
    • lip
  • due to human (alpha) herpesvirus 2
B00.2 Herpesviral gingivostomatitis and pharyngotonsillitis
Incl.:
Herpesviral pharyngitis
B00.3† Herpesviral meningitis (G02.0*)
B00.4† Herpesviral encephalitis (G05.1*)
Incl.:
Herpesviral meningoencephalitis
Simian B disease
B00.5 Herpesviral ocular disease
Incl.:
Herpesviral:
B00.7 Disseminated herpesviral disease
Incl.:
Herpesviral sepsis
B00.8 Other forms of herpesviral infection
Incl.:
Herpesviral:
B00.9 Herpesviral infection, unspecified
Incl.:
Herpes simplex infection NOS

B01 Varicella [chickenpox]

B01.0† Varicella meningitis (G02.0*)
B01.1† Varicella encephalitis (G05.1*)
Incl.:
Postchickenpox encephalitis
Varicella encephalomyelitis
B01.2† Varicella pneumonia (J17.1*)
B01.8 Varicella with other complications
B01.9 Varicella without complication
Incl.:
Varicella NOS

B02 Zoster [herpes zoster]

Incl.:
shingles
zona
B02.0† Zoster encephalitis (G05.1*)
Incl.:
Zoster meningoencephalitis
B02.1† Zoster meningitis (G02.0*)
B02.2† Zoster with other nervous system involvement
Incl.:
Postherpetic:
B02.3 Zoster ocular disease
Incl.:
Zoster:
B02.7 Disseminated zoster
B02.8 Zoster with other complications
B02.9 Zoster without complication
Incl.:
Zoster NOS

B03 Smallpox [Footnote: In 1980 the 33rd World Health Assembly declared that smallpox had been eradicated. The classification is maintained for surveillance purposes.]

B04 Monkeypox

B05 Measles

Incl.:
morbilli
Excl.:
subacute sclerosing panencephalitis (A81.1)
B05.0† Measles complicated by encephalitis (G05.1*)
Incl.:
Postmeasles encephalitis
B05.1† Measles complicated by meningitis (G02.0*)
Incl.:
Postmeasles meningitis
B05.2† Measles complicated by pneumonia (J17.1*)
Incl.:
Postmeasles pneumonia
B05.3† Measles complicated by otitis media (H67.1*)
Incl.:
Postmeasles otitis media
B05.4 Measles with intestinal complications
B05.8 Measles with other complications
Incl.:
Measles keratitis and keratoconjunctivitis† (H19.2*)
B05.9 Measles without complication
Incl.:
Measles NOS

B06 Rubella [German measles]

Excl.:
congenital rubella (P35.0)
B06.0† Rubella with neurological complications
Incl.:
Rubella:
B06.8 Rubella with other complications
Incl.:
Rubella:
B06.9 Rubella without complication
Incl.:
Rubella NOS

B07 Viral warts

Incl.:
Verruca:
  • simplex
  • vulgaris
Excl.:
anogenital (venereal) warts (A63.0)
papilloma of:

B08 Other viral infections characterized by skin and mucous membrane lesions, not elsewhere classified

Excl.:
vesicular stomatitis virus disease (A93.8)
B08.0 Other orthopoxvirus infections
Incl.:
Cowpox
Orf virus disease
Pseudocowpox [milker node]
Vaccinia
Excl.:
monkeypox (B04)
B08.1 Molluscum contagiosum
B08.2 Exanthema subitum [sixth disease]
B08.3 Erythema infectiosum [fifth disease]
B08.4 Enteroviral vesicular stomatitis with exanthem
Incl.:
Hand, foot and mouth disease
B08.5 Enteroviral vesicular pharyngitis
Incl.:
Herpangina
B08.8 Other specified viral infections characterized by skin and mucous membrane lesions
Incl.:
Enteroviral lymphonodular pharyngitis
Foot-and-mouth disease
Tanapox virus disease
Yaba pox virus disease

B09 Unspecified viral infection characterized by skin and mucous membrane lesions

Incl.:
Viral:
  • enanthema NOS
  • exanthema NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

Viral hepatitis
(B15-B19)

Additional Text
Use additional code (Chapter XX), if desired, to identify drug, if post-transfusion hepatitis
Excl.:
cytomegaloviral hepatitis (B25.1)
herpesviral [herpes simplex] hepatitis (B00.8)
sequelae of viral hepatitis (B94.2)

B15 Acute hepatitis A

B15.0 Hepatitis A with hepatic coma
B15.9 Hepatitis A without hepatic coma
Incl.:
Hepatitis A (acute)(viral) NOS

B16 Acute hepatitis B

B16.0 Acute hepatitis B with delta-agent (coinfection) with hepatic coma
B16.1 Acute hepatitis B with delta-agent (coinfection) without hepatic coma
B16.2 Acute hepatitis B without delta-agent with hepatic coma
B16.9 Acute hepatitis B without delta-agent and without hepatic coma
Incl.:
Acute hepatitis B (viral) NOS

B17 Other acute viral hepatitis

B17.0 Acute delta-(super)infection of hepatitis B carrier
B17.1 Acute hepatitis C
B17.2 Acute hepatitis E
B17.8 Other specified acute viral hepatitis
Incl.:
Hepatitis non-A non-B (acute)(viral) NEC
B17.9 Acute viral hepatitis, unspecified
Incl.:
Acute hepatitis NOS
Acute infectious hepatitis NOS

B18 Chronic viral hepatitis

B18.0 Chronic viral hepatitis B with delta-agent
B18.1 Chronic viral hepatitis B without delta-agent
Incl.:
Hepatitis B (viral) NOS
B18.2 Chronic viral hepatitis C
B18.8 Other chronic viral hepatitis
B18.9 Chronic viral hepatitis, unspecified

B19 Unspecified viral hepatitis

B19.0 Unspecified viral hepatitis with hepatic coma
B19.9 Unspecified viral hepatitis without hepatic coma
Incl.:
Viral hepatitis NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

Human immunodeficiency virus [HIV] disease
(B20-B24)

Excl.:
asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
complicating pregnancy, childbirth and the puerperium (O98.7)

B20 Human immunodeficiency virus [HIV] disease resulting in infectious and parasitic diseases

Excl.:
acute HIV infection syndrome (B23.0)
B20.0 HIV disease resulting in mycobacterial infection
Incl.:
HIV disease resulting in tuberculosis
B20.1 HIV disease resulting in other bacterial infections
B20.2 HIV disease resulting in cytomegaloviral disease
B20.3 HIV disease resulting in other viral infections
B20.4 HIV disease resulting in candidiasis
B20.5 HIV disease resulting in other mycoses
B20.6 HIV disease resulting in Pneumocystis jirovecii pneumonia
Incl.:
HIV disease resulting in Pneumocystis carinii pneumonia
B20.7 HIV disease resulting in multiple infections
B20.8 HIV disease resulting in other infectious and parasitic diseases
B20.9 HIV disease resulting in unspecified infectious or parasitic disease
Incl.:
HIV disease resulting in infection NOS

B21 Human immunodeficiency virus [HIV] disease resulting in malignant neoplasms

B21.0 HIV disease resulting in Kaposi sarcoma
B21.1 HIV disease resulting in Burkitt lymphoma
B21.2 HIV disease resulting in other types of non-Hodgkin lymphoma
B21.3 HIV disease resulting in other malignant neoplasms of lymphoid, haematopoietic and related tissue
B21.7 HIV disease resulting in multiple malignant neoplasms
B21.8 HIV disease resulting in other malignant neoplasms
B21.9 HIV disease resulting in unspecified malignant neoplasm

B22 Human immunodeficiency virus [HIV] disease resulting in other specified diseases

B22.0 HIV disease resulting in encephalopathy
Incl.:
HIV dementia
B22.1 HIV disease resulting in lymphoid interstitial pneumonitis
B22.2 HIV disease resulting in wasting syndrome
Incl.:
HIV disease resulting in failure to thrive
Slim disease
B22.7 HIV disease resulting in multiple diseases classified elsewhere
Note:

For use of this category, reference should be made to the morbidity or mortality coding rules and guidelines in Volume 2.

B23 Human immunodeficiency virus [HIV] disease resulting in other conditions

B23.0 Acute HIV infection syndrome
B23.1 HIV disease resulting in (persistent) generalized lymphadenopathy
B23.2 HIV disease resulting in haematological and immunological abnormalities, not elsewhere classified
B23.8 HIV disease resulting in other specified conditions

B24 Unspecified human immunodeficiency virus [HIV] disease

Incl.:
Acquired immunodeficiency syndrome [AIDS] NOS
AIDS-related complex [ARC] NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

B25 Cytomegaloviral disease

Excl.:
congenital cytomegalovirus infection (P35.1)
cytomegaloviral mononucleosis (B27.1)
B25.0† Cytomegaloviral pneumonitis (J17.1*)
B25.1† Cytomegaloviral hepatitis (K77.0*)
B25.2† Cytomegaloviral pancreatitis (K87.1*)
B25.8 Other cytomegaloviral diseases
B25.9 Cytomegaloviral disease, unspecified

B26 Mumps

Incl.:
parotitis:
  • epidemic
  • infectious
B26.0† Mumps orchitis (N51.1*)
B26.1† Mumps meningitis (G02.0*)
B26.2† Mumps encephalitis (G05.1*)
B26.3† Mumps pancreatitis (K87.1*)
B26.8 Mumps with other complications
Incl.:
Mumps:
B26.9 Mumps without complication
Incl.:
Mumps:
  • NOS
  • parotitis NOS

B27 Infectious mononucleosis

Incl.:
glandular fever
monocytic angina
Pfeiffer disease
B27.0 Gammaherpesviral mononucleosis
Incl.:
Mononucleosis due to Epstein-Barr virus
B27.1 Cytomegaloviral mononucleosis
B27.8 Other infectious mononucleosis
B27.9 Infectious mononucleosis, unspecified

B30 Viral conjunctivitis

Excl.:
ocular disease:
  • herpesviral [herpes simplex] (B00.5)
  • zoster (B02.3)
B30.0† Keratoconjunctivitis due to adenovirus (H19.2*)
Incl.:
Epidemic keratoconjunctivitis
Shipyard eye
B30.1† Conjunctivitis due to adenovirus (H13.1*)
Incl.:
Acute adenoviral follicular conjunctivitis
Swimming-pool conjunctivitis
B30.2 Viral pharyngoconjunctivitis
B30.3† Acute epidemic haemorrhagic conjunctivitis (enteroviral) (H13.1*)
Incl.:
Conjunctivitis due to:
  • coxsackievirus 24
  • enterovirus 70
Haemorrhagic conjunctivitis (acute)(epidemic)
B30.8† Other viral conjunctivitis (H13.1*)
Incl.:
Newcastle conjunctivitis
B30.9 Viral conjunctivitis, unspecified

B33 Other viral diseases, not elsewhere classified

B33.0 Epidemic myalgia
Incl.:
Bornholm disease
B33.1 Ross River disease
Incl.:
Epidemic polyarthritis and exanthema
Ross River fever
B33.2 Viral carditis
B33.3 Retrovirus infections, not elsewhere classified
Incl.:
Retrovirus infection NOS
B33.4† Hantavirus (cardio-)pulmonary syndrome [HPS] [HCPS] (J17.1*)
Incl.:
Hantavirus disease with pulmonary manifestations
Sin Nombre virus disease
Coding-Hint
Use additional code (N17.9), if desired, to identify any renal failure associated with HPS caused by the Andes, Bayou and Black Creek Canal hantavirus aetiologies.
Excl.:
haemorrhagic fever with renal manifestations (A98.5)
B33.8 Other specified viral diseases

B34 Viral infection of unspecified site

Excl.:
cytomegaloviral disease NOS (B25.9)
herpesvirus [herpes simplex] infection NOS (B00.9)
retrovirus infection NOS (B33.3)
viral agents as the cause of diseases classified to other chapters (B97.-)
B34.0 Adenovirus infection, unspecified site
B34.1 Enterovirus infection, unspecified site
Incl.:
Coxsackievirus infection NOS
Echovirus infection NOS
B34.2 Coronavirus infection, unspecified site
Excl.:
severe acute respiratory syndrome [SARS] (U04.9)
B34.3 Parvovirus infection, unspecified site
B34.4 Papovavirus infection, unspecified site
B34.8 Other viral infections of unspecified site
B34.9 Viral infection, unspecified
Incl.:
Viraemia NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

Mycoses
(B35-B49)

Excl.:
hypersensitivity pneumonitis due to organic dust (J67.-)
mycosis fungoides (C84.0)

B35 Dermatophytosis

Incl.:
favus
infections due to species of Epidermophyton, Microsporum and Trichophyton
tinea, any type except those in B36.-
B35.0 Tinea barbae and tinea capitis
Incl.:
Beard ringworm
Kerion
Scalp ringworm
Sycosis, mycotic
B35.1 Tinea unguium
Incl.:
Dermatophytic onychia
Dermatophytosis of nail
Onychomycosis
Ringworm of nails
B35.2 Tinea manuum
Incl.:
Dermatophytosis of hand
Hand ringworm
B35.3 Tinea pedis
Incl.:
Athlete foot
Dermatophytosis of foot
Foot ringworm
B35.4 Tinea corporis
Incl.:
Ringworm of the body
B35.5 Tinea imbricata
Incl.:
Tokelau
B35.6 Tinea inguinalis [Tinea cruris]
Incl.:
Dhobi itch
Groin ringworm
Jock itch
B35.8 Other dermatophytoses
Incl.:
Dermatophytosis:
  • disseminated
  • granulomatous
B35.9 Dermatophytosis, unspecified
Incl.:
Ringworm NOS

B36 Other superficial mycoses

B36.0 Pityriasis versicolor
Incl.:
Tinea:
  • flava
  • versicolor
B36.1 Tinea nigra
Incl.:
Keratomycosis nigricans palmaris
Microsporosis nigra
Pityriasis nigra
B36.2 White piedra
Incl.:
Tinea blanca
B36.3 Black piedra
B36.8 Other specified superficial mycoses
B36.9 Superficial mycosis, unspecified

B37 Candidiasis

Incl.:
candidosis
moniliasis
Excl.:
neonatal candidiasis (P37.5)
B37.0 Candidal stomatitis
Incl.:
Oral thrush
B37.1 Pulmonary candidiasis
B37.2 Candidiasis of skin and nail
Incl.:
Candidal:
  • onychia
  • paronychia
Excl.:
diaper [napkin] dermatitis (L22)
B37.3† Candidiasis of vulva and vagina (N77.1*)
Incl.:
Candidal vulvovaginitis
Monilial vulvovaginitis
Vaginal thrush
B37.4 Candidiasis of other urogenital sites
Incl.:
Candidal:
B37.5† Candidal meningitis (G02.1*)
B37.6† Candidal endocarditis (I39.8*)
B37.7 Candidal sepsis
B37.8 Candidiasis of other sites
Incl.:
Candidal:
  • cheilitis
  • enteritis
B37.9 Candidiasis, unspecified
Incl.:
Thrush NOS

B38 Coccidioidomycosis

B38.0 Acute pulmonary coccidioidomycosis
B38.1 Chronic pulmonary coccidioidomycosis
B38.2 Pulmonary coccidioidomycosis, unspecified
B38.3 Cutaneous coccidioidomycosis
B38.4† Coccidioidomycosis meningitis (G02.1*)
B38.7 Disseminated coccidioidomycosis
Incl.:
Generalized coccidioidomycosis
B38.8 Other forms of coccidioidomycosis
B38.9 Coccidioidomycosis, unspecified

B39 Histoplasmosis

B39.0 Acute pulmonary histoplasmosis capsulati
B39.1 Chronic pulmonary histoplasmosis capsulati
B39.2 Pulmonary histoplasmosis capsulati, unspecified
B39.3 Disseminated histoplasmosis capsulati
Incl.:
Generalized histoplasmosis capsulati
B39.4 Histoplasmosis capsulati, unspecified
Incl.:
American histoplasmosis
B39.5 Histoplasmosis duboisii
Incl.:
African histoplasmosis
B39.9 Histoplasmosis, unspecified

B40 Blastomycosis

Excl.:
Brazilian blastomycosis (B41.-)
keloidal blastomycosis (B48.0)
B40.0 Acute pulmonary blastomycosis
B40.1 Chronic pulmonary blastomycosis
B40.2 Pulmonary blastomycosis, unspecified
B40.3 Cutaneous blastomycosis
B40.7 Disseminated blastomycosis
Incl.:
Generalized blastomycosis
B40.8 Other forms of blastomycosis
B40.9 Blastomycosis, unspecified

B41 Paracoccidioidomycosis

Incl.:
Brazilian blastomycosis
Lutz disease
B41.0 Pulmonary paracoccidioidomycosis
B41.7 Disseminated paracoccidioidomycosis
Incl.:
Generalized paracoccidioidomycosis
B41.8 Other forms of paracoccidioidomycosis
B41.9 Paracoccidioidomycosis, unspecified

B42 Sporotrichosis

B42.0† Pulmonary sporotrichosis (J99.8*)
B42.1 Lymphocutaneous sporotrichosis
B42.7 Disseminated sporotrichosis
Incl.:
Generalized sporotrichosis
B42.8 Other forms of sporotrichosis
B42.9 Sporotrichosis, unspecified

B43 Chromomycosis and phaeomycotic abscess

B43.0 Cutaneous chromomycosis
Incl.:
Dermatitis verrucosa
B43.1 Phaeomycotic brain abscess
Incl.:
Cerebral chromomycosis
B43.2 Subcutaneous phaeomycotic abscess and cyst
B43.8 Other forms of chromomycosis
B43.9 Chromomycosis, unspecified

B44 Aspergillosis

Incl.:
aspergilloma
B44.0 Invasive pulmonary aspergillosis
B44.1 Other pulmonary aspergillosis
B44.2 Tonsillar aspergillosis
B44.7 Disseminated aspergillosis
Incl.:
Generalized aspergillosis
B44.8 Other forms of aspergillosis
B44.9 Aspergillosis, unspecified

B45 Cryptococcosis

B45.0 Pulmonary cryptococcosis
B45.1 Cerebral cryptococcosis
Incl.:
Cryptococcal meningitis† (G02.1*)
Cryptococcosis meningocerebralis
B45.2 Cutaneous cryptococcosis
B45.3 Osseous cryptococcosis
B45.7 Disseminated cryptococcosis
Incl.:
Generalized cryptococcosis
B45.8 Other forms of cryptococcosis
B45.9 Cryptococcosis, unspecified

B46 Zygomycosis

B46.0 Pulmonary mucormycosis
B46.1 Rhinocerebral mucormycosis
B46.2 Gastrointestinal mucormycosis
B46.3 Cutaneous mucormycosis
Incl.:
Subcutaneous mucormycosis
B46.4 Disseminated mucormycosis
Incl.:
Generalized mucormycosis
B46.5 Mucormycosis, unspecified
B46.8 Other zygomycoses
Incl.:
Entomophthoromycosis
B46.9 Zygomycosis, unspecified
Incl.:
Phycomycosis NOS

B47 Mycetoma

B47.0 Eumycetoma
Incl.:
Madura foot, mycotic
Maduromycosis
B47.1 Actinomycetoma
B47.9 Mycetoma, unspecified
Incl.:
Madura foot NOS

B48 Other mycoses, not elsewhere classified

B48.0 Lobomycosis
Incl.:
Keloidal blastomycosis
Lobo disease
B48.1 Rhinosporidiosis
B48.2 Allescheriasis
Incl.:
Infection due to Pseudallescheria boydii
Excl.:
eumycetoma (B47.0)
B48.3 Geotrichosis
Incl.:
Geotrichum stomatitis
B48.4 Penicillosis
B48.7 Opportunistic mycoses
Additional Text

Mycoses caused by fungi of low virulence that can establish an infection only as a consequence of factors such as the presence of debilitating disease or the administration of immunosuppressive and other therapeutic agents or radiation therapy. Most of the causal fungi are normally saprophytic in soil and decaying vegetation.

B48.8 Other specified mycoses
Incl.:
Adiaspiromycosis

B49 Unspecified mycosis

Incl.:
Fungaemia NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

Protozoal diseases
(B50-B64)

Excl.:
amoebiasis (A06.-)
other protozoal intestinal diseases (A07.-)

B50 Plasmodium falciparum malaria

Incl.:
mixed infections of Plasmodium falciparum with any other Plasmodium species
B50.0 Plasmodium falciparum malaria with cerebral complications
Incl.:
Cerebral malaria NOS
B50.8 Other severe and complicated Plasmodium falciparum malaria
Incl.:
Severe or complicated Plasmodium falciparum malaria NOS
B50.9 Plasmodium falciparum malaria, unspecified

B51 Plasmodium vivax malaria

Incl.:
mixed infections of Plasmodium vivax with other Plasmodium species, except Plasmodium falciparum
Excl.:
when mixed with Plasmodium falciparum (B50.-)
B51.0 Plasmodium vivax malaria with rupture of spleen
B51.8 Plasmodium vivax malaria with other complications
B51.9 Plasmodium vivax malaria without complication
Incl.:
Plasmodium vivax malaria NOS

B52 Plasmodium malariae malaria

Incl.:
mixed infections of Plasmodium malariae with other Plasmodium species, except Plasmodium falciparum and Plasmodium vivax
Excl.:
when mixed with Plasmodium:
B52.0 Plasmodium malariae malaria with nephropathy
B52.8 Plasmodium malariae malaria with other complications
B52.9 Plasmodium malariae malaria without complication
Incl.:
Plasmodium malariae malaria NOS

B53 Other parasitologically confirmed malaria

B53.0 Plasmodium ovale malaria
Excl.:
when mixed with Plasmodium:
B53.1 Malaria due to simian plasmodia
Excl.:
when mixed with Plasmodium:
B53.8 Other parasitologically confirmed malaria, not elsewhere classified
Incl.:
Parasitologically confirmed malaria NOS

B54 Unspecified malaria

Incl.:
Clinically diagnosed malaria without parasitological confirmation

B55 Leishmaniasis

B55.0 Visceral leishmaniasis
Incl.:
Kala-azar
Post-kala-azar dermal leishmaniasis
B55.1 Cutaneous leishmaniasis
B55.2 Mucocutaneous leishmaniasis
B55.9 Leishmaniasis, unspecified

B56 African trypanosomiasis

B56.0 Gambiense trypanosomiasis
Incl.:
Infection due to Trypanosoma brucei gambiense
West African sleeping sickness
B56.1 Rhodesiense trypanosomiasis
Incl.:
East African sleeping sickness
Infection due to Trypanosoma brucei rhodesiense
B56.9 African trypanosomiasis, unspecified
Incl.:
Sleeping sickness NOS
Trypanosomiasis NOS, in places where African trypanosomiasis is prevalent

B57 Chagas disease

Incl.:
American trypanosomiasis
infection due to Trypanosoma cruzi
B57.0† Acute Chagas disease with heart involvement (I41.2*, I98.1*)
Incl.:
Acute Chagas disease with:
  • cardiovascular involvement NEC (I98.1*)
  • myocarditis (I41.2*)
B57.1 Acute Chagas disease without heart involvement
Incl.:
Acute Chagas disease NOS
B57.2 Chagas disease (chronic) with heart involvement
Incl.:
American trypanosomiasis NOS
Chagas disease (chronic) (with):
  • NOS
  • cardiovascular involvement NEC† (I98.1*)
  • myocarditis† (I41.2*)
Trypanosomiasis NOS, in places where Chagas disease is prevalent
B57.3 Chagas disease (chronic) with digestive system involvement
B57.4 Chagas disease (chronic) with nervous system involvement
B57.5 Chagas disease (chronic) with other organ involvement

B58 Toxoplasmosis

Incl.:
infection due to Toxoplasma gondii
Excl.:
congenital toxoplasmosis (P37.1)
B58.0† Toxoplasma oculopathy
Incl.:
Toxoplasma chorioretinitis (H32.0*)
B58.1† Toxoplasma hepatitis (K77.0*)
B58.2† Toxoplasma meningoencephalitis (G05.2*)
B58.3† Pulmonary toxoplasmosis (J17.3*)
B58.8 Toxoplasmosis with other organ involvement
Incl.:
Toxoplasma:
B58.9 Toxoplasmosis, unspecified

B59† Pneumocystosis (J17.3*)

Incl.:
Pneumonia due to:
  • Pneumocystis carinii
  • Pneumocystis jirovecii

B60 Other protozoal diseases, not elsewhere classified

Excl.:
cryptosporidiosis (A07.2)
intestinal microsporidiosis (A07.8)
isosporiasis (A07.3)
B60.0 Babesiosis
Incl.:
Piroplasmosis
B60.1 Acanthamoebiasis
Incl.:
Conjunctivitis due to Acanthamoeba† (H13.1*)
Keratoconjunctivitis due to Acanthamoeba† (H19.2*)
B60.2 Naegleriasis
Incl.:
Primary amoebic meningoencephalitis† (G05.2*)
B60.8 Other specified protozoal diseases
Incl.:
Microsporidiosis

B64 Unspecified protozoal disease

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

B65 Schistosomiasis [bilharziasis]

Incl.:
snail fever
B65.0 Schistosomiasis due to Schistosoma haematobium [urinary schistosomiasis]
B65.1 Schistosomiasis due to Schistosoma mansoni [intestinal schistosomiasis]
B65.2 Schistosomiasis due to Schistosoma japonicum
Incl.:
Asiatic schistosomiasis
B65.3 Cercarial dermatitis
Incl.:
Swimmer itch
B65.8 Other schistosomiases
Incl.:
Infection due to Schistosoma:
  • intercalatum
  • mattheei
  • mekongi
B65.9 Schistosomiasis, unspecified

B66 Other fluke infections

B66.0 Opisthorchiasis
Incl.:
Infection due to:
  • cat liver fluke
  • Opisthorchis (felineus)(viverrini)
B66.1 Clonorchiasis
Incl.:
Chinese liver fluke disease
Infection due to Clonorchis sinensis
Oriental liver fluke disease
B66.2 Dicrocoeliasis
Incl.:
Infection due to Dicrocoelium dendriticum
Lancet fluke infection
B66.3 Fascioliasis
Incl.:
Infection due to Fasciola:
  • gigantica
  • hepatica
  • indica
Sheep liver fluke disease
B66.4 Paragonimiasis
Incl.:
Infection due to Paragonimus species
Lung fluke disease
Pulmonary distomiasis
B66.5 Fasciolopsiasis
Incl.:
Infection due to Fasciolopsis buski
Intestinal distomiasis
B66.8 Other specified fluke infections
Incl.:
Echinostomiasis
Heterophyiasis
Metagonimiasis
Nanophyetiasis
Watsoniasis
B66.9 Fluke infection, unspecified

B67 Echinococcosis

Incl.:
hydatidosis
B67.0 Echinococcus granulosus infection of liver
B67.1 Echinococcus granulosus infection of lung
B67.2 Echinococcus granulosus infection of bone
B67.3 Echinococcus granulosus infection, other and multiple sites
B67.4 Echinococcus granulosus infection, unspecified
Incl.:
Dog tapeworm (infection)
B67.5 Echinococcus multilocularis infection of liver
B67.6 Echinococcus multilocularis infection, other and multiple sites
B67.7 Echinococcus multilocularis infection, unspecified
B67.8 Echinococcosis, unspecified, of liver
B67.9 Echinococcosis, other and unspecified
Incl.:
Echinococcosis NOS

B68 Taeniasis

Excl.:
cysticercosis (B69.-)
B68.0 Taenia solium taeniasis
Incl.:
Pork tapeworm (infection)
B68.1 Taenia saginata taeniasis
Incl.:
Beef tapeworm (infection)
Infection due to adult tapeworm Taenia saginata
B68.9 Taeniasis, unspecified

B69 Cysticercosis

Incl.:
cysticerciasis infection due to larval form of Taenia solium
B69.0 Cysticercosis of central nervous system
B69.1 Cysticercosis of eye
B69.8 Cysticercosis of other sites
B69.9 Cysticercosis, unspecified

B70 Diphyllobothriasis and sparganosis

B70.0 Diphyllobothriasis
Incl.:
Diphyllobothrium (adult)(latum)(pacificum) infection
Fish tapeworm (infection)
Excl.:
larval diphyllobothriasis (B70.1)
B70.1 Sparganosis
Incl.:
Infection due to:
  • Sparganum (mansoni)(proliferum)
  • Spirometra larvae
Larval diphyllobothriasis
Spirometrosis

B71 Other cestode infections

B71.0 Hymenolepiasis
Incl.:
Dwarf tapeworm (infection)
Rat tapeworm (infection)
B71.1 Dipylidiasis
B71.8 Other specified cestode infections
Incl.:
Coenurosis
B71.9 Cestode infection, unspecified
Incl.:
Tapeworm (infection) NOS

B72 Dracunculiasis

Incl.:
Guinea worm infection
Infection due to Dracunculus medinensis

B73 Onchocerciasis

Incl.:
Onchocerca volvulus infection
Onchocercosis
River blindness

B74 Filariasis

Excl.:
onchocerciasis (B73)
tropical (pulmonary) eosinophilia NOS (J82)
B74.0 Filariasis due to Wuchereria bancrofti
Incl.:
Bancroftian:
  • elephantiasis
  • filariasis
B74.1 Filariasis due to Brugia malayi
B74.2 Filariasis due to Brugia timori
B74.3 Loiasis
Incl.:
Calabar swelling
Eyeworm disease of Africa
Loa loa infection
B74.4 Mansonelliasis
Incl.:
Infection due to Mansonella:
  • ozzardi
  • perstans
  • streptocerca
B74.8 Other filariases
Incl.:
Dirofilariasis
B74.9 Filariasis, unspecified

B75 Trichinellosis

Incl.:
Infection due to Trichinella species
Trichiniasis

B76 Hookworm diseases

Incl.:
uncinariasis
B76.0 Ancylostomiasis
Incl.:
Infection due to Ancylostoma species
B76.1 Necatoriasis
Incl.:
Infection due to Necator americanus
B76.8 Other hookworm diseases
B76.9 Hookworm disease, unspecified
Incl.:
Cutaneous larva migrans NOS

B77 Ascariasis

Incl.:
ascaridiasis
roundworm infection
B77.0 Ascariasis with intestinal complications
B77.8 Ascariasis with other complications
B77.9 Ascariasis, unspecified

B78 Strongyloidiasis

Excl.:
trichostrongyliasis (B81.2)
B78.0 Intestinal strongyloidiasis
B78.1 Cutaneous strongyloidiasis
B78.7 Disseminated strongyloidiasis
B78.9 Strongyloidiasis, unspecified

B79 Trichuriasis

Incl.:
Trichocephaliasis
Whipworm (disease)(infection)

B80 Enterobiasis

Incl.:
Oxyuriasis
Pinworm infection
Threadworm infection

B81 Other intestinal helminthiases, not elsewhere classified

Excl.:
Angiostrongyliasis due to:
  • Angiostrongylus costaricensis (B83.2)
  • Parastrongylus costaricensis (B83.2)
B81.0 Anisakiasis
Incl.:
Infection due to Anisakis larvae
B81.1 Intestinal capillariasis
Incl.:
Capillariasis NOS
Infection due to Capillaria philippinensis
Excl.:
hepatic capillariasis (B83.8)
B81.2 Trichostrongyliasis
B81.3 Intestinal angiostrongyliasis
Incl.:
Angiostrongyliasis due to:
  • Angiostrongylus costaricensis (B83.2)
  • Parastrongylus costaricensis (B83.2)
B81.4 Mixed intestinal helminthiases
Incl.:
Infection due to intestinal helminths classifiable to more than one of the categories B65.0-B81.3 and B81.8
Mixed helminthiasis NOS
B81.8 Other specified intestinal helminthiases
Incl.:
Infection due to:
  • Oesophagostomum species [oesophagostomiasis]
  • Ternidens deminutus [ternidensiasis]
  • Ternidens diminutus [ternidensiasis]

B82 Unspecified intestinal parasitism

B82.0 Intestinal helminthiasis, unspecified
B82.9 Intestinal parasitism, unspecified

B83 Other helminthiases

Excl.:
capillariasis:
B83.0 Visceral larva migrans
Incl.:
Toxocariasis
B83.1 Gnathostomiasis
Incl.:
Wandering swelling
B83.2 Angiostrongyliasis due to Parastrongylus cantonensis
Incl.:
Angiostrongyliasis due to Angiostrongylus cantonensis
Eosinophilic meningoencephalitis† (G05.2*)
Excl.:
intestinal angiostrongyliasis (B81.3)
B83.3 Syngamiasis
Incl.:
Syngamosis
B83.4 Internal hirudiniasis
Excl.:
external hirudiniasis (B88.3)
B83.8 Other specified helminthiases
Incl.:
Acanthocephaliasis
Gongylonemiasis
Hepatic capillariasis
Metastrongyliasis
Thelaziasis
B83.9 Helminthiasis, unspecified
Incl.:
Worms NOS
Excl.:
intestinal helminthiasis NOS (B82.0)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

B85 Pediculosis and phthiriasis

B85.0 Pediculosis due to Pediculus humanus capitis
Incl.:
Head-louse infestation
B85.1 Pediculosis due to Pediculus humanus corporis
Incl.:
Body-louse infestation
B85.2 Pediculosis, unspecified
B85.3 Phthiriasis
Incl.:
Infestation by:
  • crab-louse
  • Phthirus pubis
B85.4 Mixed pediculosis and phthiriasis
Incl.:
Infestation classifiable to more than one of the categories B85.0-B85.3

B86 Scabies

Incl.:
Sarcoptic itch

B87 Myiasis

Incl.:
infestation by larvae of flies
B87.0 Cutaneous myiasis
Incl.:
Creeping myiasis
B87.1 Wound myiasis
Incl.:
Traumatic myiasis
B87.2 Ocular myiasis
B87.3 Nasopharyngeal myiasis
Incl.:
Laryngeal myiasis
B87.4 Aural myiasis
B87.8 Myiasis of other sites
Incl.:
Genitourinary myiasis
Intestinal myiasis
B87.9 Myiasis, unspecified

B88 Other infestations

B88.0 Other acariasis
Incl.:
Acarine dermatitis
Dermatitis due to:
  • Demodex species
  • Dermanyssus gallinae
  • Liponyssoides sanguineus
Trombiculosis
Excl.:
scabies (B86)
B88.1 Tungiasis [sandflea infestation]
B88.2 Other arthropod infestations
Incl.:
Scarabiasis
B88.3 External hirudiniasis
Incl.:
Leech infestation NOS
Excl.:
internal hirudiniasis (B83.4)
B88.8 Other specified infestations
Incl.:
Ichthyoparasitism due to Vandellia cirrhosa
Linguatulosis
Porocephaliasis
B88.9 Infestation, unspecified
Incl.:
Infestation (skin) NOS
Infestation by mites NOS
Skin parasites NOS

B89 Unspecified parasitic disease

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

Sequelae of infectious and parasitic diseases
(B90-B94)

Note:

Categories B90-B94 are to be used to indicate conditions in categories A00-B89 as the cause of sequelae, which are themselves classified elsewhere. The "sequelae" include conditions specified as such; they also include late effects of diseases classifiable to the above categories if there is evidence that the disease itself is no longer present. For use of these categories, reference should be made to the morbidity or mortality coding rules and guidelines in Volume 2.

Not to be used for chronic infections. Code current infections to chronic or active infectious disease as appropriate.

B90 Sequelae of tuberculosis

B90.0 Sequelae of central nervous system tuberculosis
B90.1 Sequelae of genitourinary tuberculosis
B90.2 Sequelae of tuberculosis of bones and joints
B90.8 Sequelae of tuberculosis of other organs
B90.9 Sequelae of respiratory and unspecified tuberculosis
Incl.:
Sequelae of tuberculosis NOS

B91 Sequelae of poliomyelitis

Excl.:
postpolio syndrome (G14)

B92 Sequelae of leprosy

B94 Sequelae of other and unspecified infectious and parasitic diseases

B94.0 Sequelae of trachoma
B94.1 Sequelae of viral encephalitis
B94.2 Sequelae of viral hepatitis
B94.8 Sequelae of other specified infectious and parasitic diseases
B94.9 Sequelae of unspecified infectious or parasitic disease

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

Bacterial, viral and other infectious agents
(B95-B98)

Note:

These categories should never be used in primary coding. They are provided for use as supplementary or additional codes when it is desired to identify the infectious agent(s) in diseases classified elsewhere.

B95 Streptococcus and staphylococcus as the cause of diseases classified to other chapters

B95.0 Streptococcus, group A, as the cause of diseases classified to other chapters
B95.1 Streptococcus, group B, as the cause of diseases classified to other chapters
B95.2 Streptococcus group D and enterococcus as the cause of diseases classified to other chapters
B95.3 Streptococcus pneumoniae as the cause of diseases classified to other chapters
B95.4 Other streptococcus as the cause of diseases classified to other chapters
B95.5 Unspecified streptococcus as the cause of diseases classified to other chapters
B95.6 Staphylococcus aureus as the cause of diseases classified to other chapters
B95.7 Other staphylococcus as the cause of diseases classified to other chapters
B95.8 Unspecified staphylococcus as the cause of diseases classified to other chapters

B96 Other specified bacterial agents as the cause of diseases classified to other chapters

B96.0 Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified to other chapters
Incl.:
Pleuro-pneumonia-like-organism [PPLO]
B96.1 Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified to other chapters
B96.2 Escherichia coli [E. coli] as the cause of diseases classified to other chapters
B96.3 Haemophilus influenzae [H. influenzae] as the cause of diseases classified to other chapters
B96.4 Proteus (mirabilis)(morganii) as the cause of diseases classified to other chapters
B96.5 Pseudomonas (aeruginosa) as the cause of diseases classified to other chapters
B96.6 Bacillus fragilis [B. fragilis] as the cause of diseases classified to other chapters
B96.7 Clostridium perfringens [C. perfringens] as the cause of diseases classified to other chapters
B96.8 Other specified bacterial agents as the cause of diseases classified to other chapters

B97 Viral agents as the cause of diseases classified to other chapters

B97.0 Adenovirus as the cause of diseases classified to other chapters
B97.1 Enterovirus as the cause of diseases classified to other chapters
Incl.:
Coxsackievirus
Echovirus
B97.2 Coronavirus as the cause of diseases classified to other chapters
B97.3 Retrovirus as the cause of diseases classified to other chapters
Incl.:
Lentivirus
Oncovirus
B97.4 Respiratory syncytial virus as the cause of diseases classified to other chapters
B97.5 Reovirus as the cause of diseases classified to other chapters
B97.6 Parvovirus as the cause of diseases classified to other chapters
B97.7 Papillomavirus as the cause of diseases classified to other chapters
B97.8 Other viral agents as the cause of diseases classified to other chapters
Incl.:
Human metapneumovirus

B98 Other specified infectious agents as the cause of diseases classified to other chapters

B98.0 Helicobacter pylori [H.pylori] as the cause of diseases classified to other chapters
B98.1 Vibrio vulnificus as the cause of diseases classified to other chapters

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

B99 Other and unspecified infectious diseases

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Malignant neoplasms
(C00-C97)

Coding-Hint
Use additional code (U85) , if desired, to identify resistance, non-responsiveness and refractive properties of the neoplasm to antineoplastic drugs.

C00 Malignant neoplasm of lip

Excl.:
skin of lip (C43.0, C44.0)
C00.0 External upper lip
Incl.:
Upper lip:
  • NOS
  • lipstick area
  • vermilion border
C00.1 External lower lip
Incl.:
Lower lip:
  • NOS
  • lipstick area
  • vermilion border
C00.2 External lip, unspecified
Incl.:
Vermilion border NOS
C00.3 Upper lip, inner aspect
Incl.:
Upper lip:
  • buccal aspect
  • frenulum
  • mucosa
  • oral aspect
C00.4 Lower lip, inner aspect
Incl.:
Lower lip:
  • buccal aspect
  • frenulum
  • mucosa
  • oral aspect
C00.5 Lip, unspecified, inner aspect
Incl.:
Lip, not specified whether upper or lower:
  • buccal aspect
  • frenulum
  • mucosa
  • oral aspect
C00.6 Commissure of lip
C00.8 Overlapping lesion of lip
Additional Text
[See note 5 at the beginning of this chapter]
C00.9 Lip, unspecified

C01 Malignant neoplasm of base of tongue

Incl.:
Dorsal surface of base of tongue
Fixed part of tongue NOS
Posterior third of tongue

C02 Malignant neoplasm of other and unspecified parts of tongue

C02.0 Dorsal surface of tongue
Incl.:
Anterior two-thirds of tongue, dorsal surface
Excl.:
dorsal surface of base of tongue (C01)
C02.1 Border of tongue
Incl.:
Tip of tongue
C02.2 Ventral surface of tongue
Incl.:
Anterior two-thirds of tongue, ventral surface
Frenulum linguae
C02.3 Anterior two-thirds of tongue, part unspecified
Incl.:
Middle third of tongue NOS
Mobile part of tongue NOS
C02.4 Lingual tonsil
Excl.:
tonsil NOS (C09.9)
C02.8 Overlapping lesion of tongue
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm of tongue whose point of origin cannot be classified to any one of the categories C01-C02.4
C02.9 Tongue, unspecified

C03 Malignant neoplasm of gum

Incl.:
alveolar (ridge) mucosa
gingiva
Excl.:
malignant odontogenic neoplasms (C41.0-C41.1)
C03.0 Upper gum
C03.1 Lower gum
C03.9 Gum, unspecified

C04 Malignant neoplasm of floor of mouth

C04.0 Anterior floor of mouth
Incl.:
Anterior to the premolar-canine junction
C04.1 Lateral floor of mouth
C04.8 Overlapping lesion of floor of mouth
Additional Text
[See note 5 at the beginning of this chapter]
C04.9 Floor of mouth, unspecified

C05 Malignant neoplasm of palate

C05.0 Hard palate
C05.1 Soft palate
Excl.:
nasopharyngeal surface of soft palate (C11.3)
C05.2 Uvula
C05.8 Overlapping lesion of palate
Additional Text
[See note 5 at the beginning of this chapter]
C05.9 Palate, unspecified
Incl.:
Roof of mouth

C06 Malignant neoplasm of other and unspecified parts of mouth

C06.0 Cheek mucosa
Incl.:
Buccal mucosa NOS
Internal cheek
C06.1 Vestibule of mouth
Incl.:
Buccal sulcus (upper)(lower)
Labial sulcus (upper)(lower)
C06.2 Retromolar area
C06.8 Overlapping lesion of other and unspecified parts of mouth
Additional Text
[See note 5 at the beginning of this chapter]
C06.9 Mouth, unspecified
Incl.:
Minor salivary gland, unspecified site
Oral cavity NOS

C07 Malignant neoplasm of parotid gland

C08 Malignant neoplasm of other and unspecified major salivary glands

Excl.:
malignant neoplasms of specified minor salivary glands which are classified according to their anatomical location
malignant neoplasms of minor salivary glands NOS (C06.9)
parotid gland (C07)
C08.0 Submandibular gland
Incl.:
Submaxillary gland
C08.1 Sublingual gland
C08.8 Overlapping lesion of major salivary glands
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm of major salivary glands whose point of origin cannot be classified to any one of the categories C07-C08.1
C08.9 Major salivary gland, unspecified
Incl.:
Salivary gland (major) NOS

C09 Malignant neoplasm of tonsil

Excl.:
lingual tonsil (C02.4)
pharyngeal tonsil (C11.1)
C09.0 Tonsillar fossa
C09.1 Tonsillar pillar (anterior)(posterior)
C09.8 Overlapping lesion of tonsil
Additional Text
[See note 5 at the beginning of this chapter]
C09.9 Tonsil, unspecified
Incl.:
Tonsil:
  • NOS
  • faucial
  • palatine

C10 Malignant neoplasm of oropharynx

Excl.:
tonsil (C09.-)
C10.0 Vallecula
C10.1 Anterior surface of epiglottis
Incl.:
Epiglottis, free border [margin]
Glossoepiglottic fold(s)
Excl.:
epiglottis (suprahyoid portion) NOS (C32.1)
C10.2 Lateral wall of oropharynx
C10.3 Posterior wall of oropharynx
C10.4 Branchial cleft
Incl.:
Branchial cyst [site of neoplasm]
C10.8 Overlapping lesion of oropharynx
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Junctional region of oropharynx
C10.9 Oropharynx, unspecified

C11 Malignant neoplasm of nasopharynx

C11.0 Superior wall of nasopharynx
Incl.:
Roof of nasopharynx
C11.1 Posterior wall of nasopharynx
Incl.:
Adenoid
Pharyngeal tonsil
C11.2 Lateral wall of nasopharynx
Incl.:
Fossa of Rosenmüller
Opening of auditory tube
Pharyngeal recess
C11.3 Anterior wall of nasopharynx
Incl.:
Floor of nasopharynx
Nasopharyngeal (anterior)(posterior) surface of soft palate
Posterior margin of nasal:
  • choana
  • septum
C11.8 Overlapping lesion of nasopharynx
Additional Text
[See note 5 at the beginning of this chapter]
C11.9 Nasopharynx, unspecified
Incl.:
Nasopharyngeal wall NOS

C12 Malignant neoplasm of piriform sinus

Incl.:
Piriform fossa

C13 Malignant neoplasm of hypopharynx

Excl.:
piriform sinus (C12)
C13.0 Postcricoid region
C13.1 Aryepiglottic fold, hypopharyngeal aspect
Incl.:
Aryepiglottic fold:
  • NOS
  • marginal zone
Excl.:
aryepiglottic fold, laryngeal aspect (C32.1)
C13.2 Posterior wall of hypopharynx
C13.8 Overlapping lesion of hypopharynx
Additional Text
[See note 5 at the beginning of this chapter]
C13.9 Hypopharynx, unspecified
Incl.:
Hypopharyngeal wall NOS

C14 Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx

Excl.:
oral cavity NOS (C06.9)
C14.0 Pharynx, unspecified
C14.2 Waldeyer ring
C14.8 Overlapping lesion of lip, oral cavity and pharynx
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm of lip, oral cavity and pharynx whose point of origin cannot be classified to any one of the categories C00-C14.2

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Malignant neoplasms
(C00-C97)

Coding-Hint
Use additional code (U85) , if desired, to identify resistance, non-responsiveness and refractive properties of the neoplasm to antineoplastic drugs.

C00 Malignant neoplasm of lip

Excl.:
skin of lip (C43.0, C44.0)
C00.0 External upper lip
Incl.:
Upper lip:
  • NOS
  • lipstick area
  • vermilion border
C00.1 External lower lip
Incl.:
Lower lip:
  • NOS
  • lipstick area
  • vermilion border
C00.2 External lip, unspecified
Incl.:
Vermilion border NOS
C00.3 Upper lip, inner aspect
Incl.:
Upper lip:
  • buccal aspect
  • frenulum
  • mucosa
  • oral aspect
C00.4 Lower lip, inner aspect
Incl.:
Lower lip:
  • buccal aspect
  • frenulum
  • mucosa
  • oral aspect
C00.5 Lip, unspecified, inner aspect
Incl.:
Lip, not specified whether upper or lower:
  • buccal aspect
  • frenulum
  • mucosa
  • oral aspect
C00.6 Commissure of lip
C00.8 Overlapping lesion of lip
Additional Text
[See note 5 at the beginning of this chapter]
C00.9 Lip, unspecified

C01 Malignant neoplasm of base of tongue

Incl.:
Dorsal surface of base of tongue
Fixed part of tongue NOS
Posterior third of tongue

C02 Malignant neoplasm of other and unspecified parts of tongue

C02.0 Dorsal surface of tongue
Incl.:
Anterior two-thirds of tongue, dorsal surface
Excl.:
dorsal surface of base of tongue (C01)
C02.1 Border of tongue
Incl.:
Tip of tongue
C02.2 Ventral surface of tongue
Incl.:
Anterior two-thirds of tongue, ventral surface
Frenulum linguae
C02.3 Anterior two-thirds of tongue, part unspecified
Incl.:
Middle third of tongue NOS
Mobile part of tongue NOS
C02.4 Lingual tonsil
Excl.:
tonsil NOS (C09.9)
C02.8 Overlapping lesion of tongue
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm of tongue whose point of origin cannot be classified to any one of the categories C01-C02.4
C02.9 Tongue, unspecified

C03 Malignant neoplasm of gum

Incl.:
alveolar (ridge) mucosa
gingiva
Excl.:
malignant odontogenic neoplasms (C41.0-C41.1)
C03.0 Upper gum
C03.1 Lower gum
C03.9 Gum, unspecified

C04 Malignant neoplasm of floor of mouth

C04.0 Anterior floor of mouth
Incl.:
Anterior to the premolar-canine junction
C04.1 Lateral floor of mouth
C04.8 Overlapping lesion of floor of mouth
Additional Text
[See note 5 at the beginning of this chapter]
C04.9 Floor of mouth, unspecified

C05 Malignant neoplasm of palate

C05.0 Hard palate
C05.1 Soft palate
Excl.:
nasopharyngeal surface of soft palate (C11.3)
C05.2 Uvula
C05.8 Overlapping lesion of palate
Additional Text
[See note 5 at the beginning of this chapter]
C05.9 Palate, unspecified
Incl.:
Roof of mouth

C06 Malignant neoplasm of other and unspecified parts of mouth

C06.0 Cheek mucosa
Incl.:
Buccal mucosa NOS
Internal cheek
C06.1 Vestibule of mouth
Incl.:
Buccal sulcus (upper)(lower)
Labial sulcus (upper)(lower)
C06.2 Retromolar area
C06.8 Overlapping lesion of other and unspecified parts of mouth
Additional Text
[See note 5 at the beginning of this chapter]
C06.9 Mouth, unspecified
Incl.:
Minor salivary gland, unspecified site
Oral cavity NOS

C07 Malignant neoplasm of parotid gland

C08 Malignant neoplasm of other and unspecified major salivary glands

Excl.:
malignant neoplasms of specified minor salivary glands which are classified according to their anatomical location
malignant neoplasms of minor salivary glands NOS (C06.9)
parotid gland (C07)
C08.0 Submandibular gland
Incl.:
Submaxillary gland
C08.1 Sublingual gland
C08.8 Overlapping lesion of major salivary glands
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm of major salivary glands whose point of origin cannot be classified to any one of the categories C07-C08.1
C08.9 Major salivary gland, unspecified
Incl.:
Salivary gland (major) NOS

C09 Malignant neoplasm of tonsil

Excl.:
lingual tonsil (C02.4)
pharyngeal tonsil (C11.1)
C09.0 Tonsillar fossa
C09.1 Tonsillar pillar (anterior)(posterior)
C09.8 Overlapping lesion of tonsil
Additional Text
[See note 5 at the beginning of this chapter]
C09.9 Tonsil, unspecified
Incl.:
Tonsil:
  • NOS
  • faucial
  • palatine

C10 Malignant neoplasm of oropharynx

Excl.:
tonsil (C09.-)
C10.0 Vallecula
C10.1 Anterior surface of epiglottis
Incl.:
Epiglottis, free border [margin]
Glossoepiglottic fold(s)
Excl.:
epiglottis (suprahyoid portion) NOS (C32.1)
C10.2 Lateral wall of oropharynx
C10.3 Posterior wall of oropharynx
C10.4 Branchial cleft
Incl.:
Branchial cyst [site of neoplasm]
C10.8 Overlapping lesion of oropharynx
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Junctional region of oropharynx
C10.9 Oropharynx, unspecified

C11 Malignant neoplasm of nasopharynx

C11.0 Superior wall of nasopharynx
Incl.:
Roof of nasopharynx
C11.1 Posterior wall of nasopharynx
Incl.:
Adenoid
Pharyngeal tonsil
C11.2 Lateral wall of nasopharynx
Incl.:
Fossa of Rosenmüller
Opening of auditory tube
Pharyngeal recess
C11.3 Anterior wall of nasopharynx
Incl.:
Floor of nasopharynx
Nasopharyngeal (anterior)(posterior) surface of soft palate
Posterior margin of nasal:
  • choana
  • septum
C11.8 Overlapping lesion of nasopharynx
Additional Text
[See note 5 at the beginning of this chapter]
C11.9 Nasopharynx, unspecified
Incl.:
Nasopharyngeal wall NOS

C12 Malignant neoplasm of piriform sinus

Incl.:
Piriform fossa

C13 Malignant neoplasm of hypopharynx

Excl.:
piriform sinus (C12)
C13.0 Postcricoid region
C13.1 Aryepiglottic fold, hypopharyngeal aspect
Incl.:
Aryepiglottic fold:
  • NOS
  • marginal zone
Excl.:
aryepiglottic fold, laryngeal aspect (C32.1)
C13.2 Posterior wall of hypopharynx
C13.8 Overlapping lesion of hypopharynx
Additional Text
[See note 5 at the beginning of this chapter]
C13.9 Hypopharynx, unspecified
Incl.:
Hypopharyngeal wall NOS

C14 Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx

Excl.:
oral cavity NOS (C06.9)
C14.0 Pharynx, unspecified
C14.2 Waldeyer ring
C14.8 Overlapping lesion of lip, oral cavity and pharynx
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm of lip, oral cavity and pharynx whose point of origin cannot be classified to any one of the categories C00-C14.2

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Malignant neoplasms
(C00-C97)

Coding-Hint
Use additional code (U85) , if desired, to identify resistance, non-responsiveness and refractive properties of the neoplasm to antineoplastic drugs.

C00 Malignant neoplasm of lip

Excl.:
skin of lip (C43.0, C44.0)
C00.0 External upper lip
Incl.:
Upper lip:
  • NOS
  • lipstick area
  • vermilion border
C00.1 External lower lip
Incl.:
Lower lip:
  • NOS
  • lipstick area
  • vermilion border
C00.2 External lip, unspecified
Incl.:
Vermilion border NOS
C00.3 Upper lip, inner aspect
Incl.:
Upper lip:
  • buccal aspect
  • frenulum
  • mucosa
  • oral aspect
C00.4 Lower lip, inner aspect
Incl.:
Lower lip:
  • buccal aspect
  • frenulum
  • mucosa
  • oral aspect
C00.5 Lip, unspecified, inner aspect
Incl.:
Lip, not specified whether upper or lower:
  • buccal aspect
  • frenulum
  • mucosa
  • oral aspect
C00.6 Commissure of lip
C00.8 Overlapping lesion of lip
Additional Text
[See note 5 at the beginning of this chapter]
C00.9 Lip, unspecified

C01 Malignant neoplasm of base of tongue

Incl.:
Dorsal surface of base of tongue
Fixed part of tongue NOS
Posterior third of tongue

C02 Malignant neoplasm of other and unspecified parts of tongue

C02.0 Dorsal surface of tongue
Incl.:
Anterior two-thirds of tongue, dorsal surface
Excl.:
dorsal surface of base of tongue (C01)
C02.1 Border of tongue
Incl.:
Tip of tongue
C02.2 Ventral surface of tongue
Incl.:
Anterior two-thirds of tongue, ventral surface
Frenulum linguae
C02.3 Anterior two-thirds of tongue, part unspecified
Incl.:
Middle third of tongue NOS
Mobile part of tongue NOS
C02.4 Lingual tonsil
Excl.:
tonsil NOS (C09.9)
C02.8 Overlapping lesion of tongue
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm of tongue whose point of origin cannot be classified to any one of the categories C01-C02.4
C02.9 Tongue, unspecified

C03 Malignant neoplasm of gum

Incl.:
alveolar (ridge) mucosa
gingiva
Excl.:
malignant odontogenic neoplasms (C41.0-C41.1)
C03.0 Upper gum
C03.1 Lower gum
C03.9 Gum, unspecified

C04 Malignant neoplasm of floor of mouth

C04.0 Anterior floor of mouth
Incl.:
Anterior to the premolar-canine junction
C04.1 Lateral floor of mouth
C04.8 Overlapping lesion of floor of mouth
Additional Text
[See note 5 at the beginning of this chapter]
C04.9 Floor of mouth, unspecified

C05 Malignant neoplasm of palate

C05.0 Hard palate
C05.1 Soft palate
Excl.:
nasopharyngeal surface of soft palate (C11.3)
C05.2 Uvula
C05.8 Overlapping lesion of palate
Additional Text
[See note 5 at the beginning of this chapter]
C05.9 Palate, unspecified
Incl.:
Roof of mouth

C06 Malignant neoplasm of other and unspecified parts of mouth

C06.0 Cheek mucosa
Incl.:
Buccal mucosa NOS
Internal cheek
C06.1 Vestibule of mouth
Incl.:
Buccal sulcus (upper)(lower)
Labial sulcus (upper)(lower)
C06.2 Retromolar area
C06.8 Overlapping lesion of other and unspecified parts of mouth
Additional Text
[See note 5 at the beginning of this chapter]
C06.9 Mouth, unspecified
Incl.:
Minor salivary gland, unspecified site
Oral cavity NOS

C07 Malignant neoplasm of parotid gland

C08 Malignant neoplasm of other and unspecified major salivary glands

Excl.:
malignant neoplasms of specified minor salivary glands which are classified according to their anatomical location
malignant neoplasms of minor salivary glands NOS (C06.9)
parotid gland (C07)
C08.0 Submandibular gland
Incl.:
Submaxillary gland
C08.1 Sublingual gland
C08.8 Overlapping lesion of major salivary glands
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm of major salivary glands whose point of origin cannot be classified to any one of the categories C07-C08.1
C08.9 Major salivary gland, unspecified
Incl.:
Salivary gland (major) NOS

C09 Malignant neoplasm of tonsil

Excl.:
lingual tonsil (C02.4)
pharyngeal tonsil (C11.1)
C09.0 Tonsillar fossa
C09.1 Tonsillar pillar (anterior)(posterior)
C09.8 Overlapping lesion of tonsil
Additional Text
[See note 5 at the beginning of this chapter]
C09.9 Tonsil, unspecified
Incl.:
Tonsil:
  • NOS
  • faucial
  • palatine

C10 Malignant neoplasm of oropharynx

Excl.:
tonsil (C09.-)
C10.0 Vallecula
C10.1 Anterior surface of epiglottis
Incl.:
Epiglottis, free border [margin]
Glossoepiglottic fold(s)
Excl.:
epiglottis (suprahyoid portion) NOS (C32.1)
C10.2 Lateral wall of oropharynx
C10.3 Posterior wall of oropharynx
C10.4 Branchial cleft
Incl.:
Branchial cyst [site of neoplasm]
C10.8 Overlapping lesion of oropharynx
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Junctional region of oropharynx
C10.9 Oropharynx, unspecified

C11 Malignant neoplasm of nasopharynx

C11.0 Superior wall of nasopharynx
Incl.:
Roof of nasopharynx
C11.1 Posterior wall of nasopharynx
Incl.:
Adenoid
Pharyngeal tonsil
C11.2 Lateral wall of nasopharynx
Incl.:
Fossa of Rosenmüller
Opening of auditory tube
Pharyngeal recess
C11.3 Anterior wall of nasopharynx
Incl.:
Floor of nasopharynx
Nasopharyngeal (anterior)(posterior) surface of soft palate
Posterior margin of nasal:
  • choana
  • septum
C11.8 Overlapping lesion of nasopharynx
Additional Text
[See note 5 at the beginning of this chapter]
C11.9 Nasopharynx, unspecified
Incl.:
Nasopharyngeal wall NOS

C12 Malignant neoplasm of piriform sinus

Incl.:
Piriform fossa

C13 Malignant neoplasm of hypopharynx

Excl.:
piriform sinus (C12)
C13.0 Postcricoid region
C13.1 Aryepiglottic fold, hypopharyngeal aspect
Incl.:
Aryepiglottic fold:
  • NOS
  • marginal zone
Excl.:
aryepiglottic fold, laryngeal aspect (C32.1)
C13.2 Posterior wall of hypopharynx
C13.8 Overlapping lesion of hypopharynx
Additional Text
[See note 5 at the beginning of this chapter]
C13.9 Hypopharynx, unspecified
Incl.:
Hypopharyngeal wall NOS

C14 Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx

Excl.:
oral cavity NOS (C06.9)
C14.0 Pharynx, unspecified
C14.2 Waldeyer ring
C14.8 Overlapping lesion of lip, oral cavity and pharynx
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm of lip, oral cavity and pharynx whose point of origin cannot be classified to any one of the categories C00-C14.2

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Malignant neoplasms
(C00-C97)

Coding-Hint
Use additional code (U85) , if desired, to identify resistance, non-responsiveness and refractive properties of the neoplasm to antineoplastic drugs.

C15 Malignant neoplasm of oesophagus

Note:

Two alternative subclassifications are given:

  • .0-.2 by anatomical description

  • .3-.5 by thirds

This departure from the principle that categories should be mutually exclusive is deliberate, since both forms of terminology are in use but the resulting anatomical divisions are not analogous.

C15.0 Cervical part of oesophagus
C15.1 Thoracic part of oesophagus
C15.2 Abdominal part of oesophagus
C15.3 Upper third of oesophagus
C15.4 Middle third of oesophagus
C15.5 Lower third of oesophagus
C15.8 Overlapping lesion of oesophagus
Additional Text
[See note 5 at the beginning of this chapter]
C15.9 Oesophagus, unspecified

C16 Malignant neoplasm of stomach

C16.0 Cardia
Incl.:
Cardiac orifice
Cardio-oesophageal junction
Gastro-oesophageal junction
Oesophagus and stomach
C16.1 Fundus of stomach
C16.2 Body of stomach
C16.3 Pyloric antrum
Incl.:
Gastric antrum
C16.4 Pylorus
Incl.:
Prepylorus
Pyloric canal
C16.5 Lesser curvature of stomach, unspecified
Incl.:
Lesser curvature of stomach, not classifiable to C16.1-C16.4
C16.6 Greater curvature of stomach, unspecified
Incl.:
Greater curvature of stomach, not classifiable to C16.0-C16.4
C16.8 Overlapping lesion of stomach
Additional Text
[See note 5 at the beginning of this chapter]
C16.9 Stomach, unspecified
Incl.:
Gastric cancer NOS

C17 Malignant neoplasm of small intestine

C17.0 Duodenum
C17.1 Jejunum
C17.2 Ileum
Excl.:
ileocaecal valve (C18.0)
C17.3 Meckel diverticulum
C17.8 Overlapping lesion of small intestine
Additional Text
[See note 5 at the beginning of this chapter]
C17.9 Small intestine, unspecified

C18 Malignant neoplasm of colon

C18.0 Caecum
Incl.:
Ileocaecal valve
C18.1 Appendix
C18.2 Ascending colon
C18.3 Hepatic flexure
C18.4 Transverse colon
C18.5 Splenic flexure
C18.6 Descending colon
C18.7 Sigmoid colon
Incl.:
Sigmoid (flexure)
Excl.:
rectosigmoid junction (C19)
C18.8 Overlapping lesion of colon
Additional Text
[See note 5 at the beginning of this chapter]
C18.9 Colon, unspecified
Incl.:
Large intestine NOS

C19 Malignant neoplasm of rectosigmoid junction

Incl.:
Colon with rectum
Rectosigmoid (colon)

C20 Malignant neoplasm of rectum

Incl.:
Rectal ampulla

C21 Malignant neoplasm of anus and anal canal

C21.0 Anus, unspecified
Excl.:
anal:
perianal skin (C43.5, C44.5)
C21.1 Anal canal
Incl.:
Anal sphincter
C21.2 Cloacogenic zone
C21.8 Overlapping lesion of rectum, anus and anal canal
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Anorectal junction
Anorectum
Malignant neoplasm of rectum, anus and anal canal whose point of origin cannot be classified to any one of the categories C20-C21.2

C22 Malignant neoplasm of liver and intrahepatic bile ducts

Excl.:
biliary tract NOS (C24.9)
secondary malignant neoplasm of liver (C78.7)
C22.0 Liver cell carcinoma
Incl.:
Hepatocellular carcinoma
Hepatoma
C22.1 Intrahepatic bile duct carcinoma
Incl.:
Cholangiocarcinoma
C22.2 Hepatoblastoma
C22.3 Angiosarcoma of liver
Incl.:
Kupffer cell sarcoma
C22.4 Other sarcomas of liver
C22.7 Other specified carcinomas of liver
C22.9 Liver, unspecified

C23 Malignant neoplasm of gallbladder

C24 Malignant neoplasm of other and unspecified parts of biliary tract

Excl.:
intrahepatic bile duct (C22.1)
C24.0 Extrahepatic bile duct
Incl.:
Biliary duct or passage NOS
Common bile duct
Cystic duct
Hepatic duct
C24.1 Ampulla of Vater
C24.8 Overlapping lesion of biliary tract
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm involving both intrahepatic and extrahepatic bile ducts
Malignant neoplasm of biliary tract whose point of origin cannot be classified to any one of the categories C22.0-C24.1
C24.9 Biliary tract, unspecified

C25 Malignant neoplasm of pancreas

C25.0 Head of pancreas
C25.1 Body of pancreas
C25.2 Tail of pancreas
C25.3 Pancreatic duct
C25.4 Endocrine pancreas
Incl.:
Islets of Langerhans
C25.7 Other parts of pancreas
Incl.:
Neck of pancreas
C25.8 Overlapping lesion of pancreas
Additional Text
[See note 5 at the beginning of this chapter]
C25.9 Pancreas, unspecified

C26 Malignant neoplasm of other and ill-defined digestive organs

Excl.:
peritoneum and retroperitoneum (C48.-)
C26.0 Intestinal tract, part unspecified
Incl.:
Intestine NOS
C26.1 Spleen
Excl.:
follicular lymphoma (C82.-)
Hodgkin lymphoma (C81.-)
mature T/NK-cell lymphomas (C84.-)
non-follicular lymphoma (C83.-)
non-Hodgkin lymphoma, other and unspecified types (C85.-)
C26.8 Overlapping lesion of digestive system
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm of digestive organs whose point of origin cannot be classified to any one of the categories C15-C26.1
Excl.:
cardio-oesophageal junction (C16.0)
C26.9 Ill-defined sites within the digestive system
Incl.:
Alimentary canal or tract NOS
Gastrointestinal tract NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Malignant neoplasms
(C00-C97)

Coding-Hint
Use additional code (U85) , if desired, to identify resistance, non-responsiveness and refractive properties of the neoplasm to antineoplastic drugs.

C30 Malignant neoplasm of nasal cavity and middle ear

C30.0 Nasal cavity
Incl.:
Cartilage of nose
Concha, nasal
Internal nose
Septum of nose
Vestibule of nose
Excl.:
nasal bone (C41.0)
nose NOS (C76.0)
olfactory bulb (C72.2)
posterior margin of nasal septum and choana (C11.3)
skin of nose (C43.3, C44.3)
C30.1 Middle ear
Incl.:
Eustachian tube
Inner ear
Mastoid air cells
Excl.:
auricular canal (external) (C43.2, C44.2)
bone of ear (meatus) (C41.0)
cartilage of ear (C49.0)
skin of (external) ear (C43.2, C44.2)

C31 Malignant neoplasm of accessory sinuses

C31.0 Maxillary sinus
Incl.:
Antrum (Highmore)(maxillary)
C31.1 Ethmoidal sinus
C31.2 Frontal sinus
C31.3 Sphenoidal sinus
C31.8 Overlapping lesion of accessory sinuses
Additional Text
[See note 5 at the beginning of this chapter]
C31.9 Accessory sinus, unspecified

C32 Malignant neoplasm of larynx

C32.0 Glottis
Incl.:
Intrinsic larynx
Vocal cord (true) NOS
C32.1 Supraglottis
Incl.:
Aryepiglottic fold, laryngeal aspect
Epiglottis (suprahyoid portion) NOS
Extrinsic larynx
False vocal cord
Posterior (laryngeal) surface of epiglottis
Ventricular bands
Excl.:
anterior surface of epiglottis (C10.1)
aryepiglottic fold:
C32.2 Subglottis
C32.3 Laryngeal cartilage
C32.8 Overlapping lesion of larynx
Additional Text
[See note 5 at the beginning of this chapter]
C32.9 Larynx, unspecified

C33 Malignant neoplasm of trachea

C34 Malignant neoplasm of bronchus and lung

C34.0 Main bronchus
Incl.:
Carina
Hilus (of lung)
C34.1 Upper lobe, bronchus or lung
C34.2 Middle lobe, bronchus or lung
C34.3 Lower lobe, bronchus or lung
C34.8 Overlapping lesion of bronchus and lung
Additional Text
[See note 5 at the beginning of this chapter]
C34.9 Bronchus or lung, unspecified

C37 Malignant neoplasm of thymus

C38 Malignant neoplasm of heart, mediastinum and pleura

Excl.:
mesothelioma (C45.-)
C38.0 Heart
Incl.:
Pericardium
Excl.:
great vessels (C49.3)
C38.1 Anterior mediastinum
C38.2 Posterior mediastinum
C38.3 Mediastinum, part unspecified
C38.4 Pleura
C38.8 Overlapping lesion of heart, mediastinum and pleura
Additional Text
[See note 5 at the beginning of this chapter]

C39 Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs

Excl.:
intrathoracic NOS (C76.1)
thoracic NOS (C76.1)
C39.0 Upper respiratory tract, part unspecified
C39.8 Overlapping lesion of respiratory and intrathoracic organs
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm of respiratory and intrathoracic organs whose point of origin cannot be classified to any one of the categories C30-C39.0
C39.9 Ill-defined sites within the respiratory system
Incl.:
Respiratory tract NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Malignant neoplasms
(C00-C97)

Coding-Hint
Use additional code (U85) , if desired, to identify resistance, non-responsiveness and refractive properties of the neoplasm to antineoplastic drugs.

C40 Malignant neoplasm of bone and articular cartilage of limbs

C40.0 Scapula and long bones of upper limb
C40.1 Short bones of upper limb
C40.2 Long bones of lower limb
C40.3 Short bones of lower limb
C40.8 Overlapping lesion of bone and articular cartilage of limbs
Additional Text
[See note 5 at the beginning of this chapter]
C40.9 Bone and articular cartilage of limb, unspecified

C41 Malignant neoplasm of bone and articular cartilage of other and unspecified sites

Excl.:
bones of limbs (C40.-)
cartilage of:
C41.0 Bones of skull and face
Incl.:
Maxilla (superior)
Orbital bone
Excl.:
carcinoma, any type except intraosseous or odontogenic of:
jaw bone (lower) (C41.1)
C41.1 Mandible
Incl.:
Lower jaw bone
Excl.:
carcinoma, any type except intraosseous or odontogenic of:
upper jaw bone (C41.0)
C41.2 Vertebral column
Excl.:
sacrum and coccyx (C41.4)
C41.3 Ribs, sternum and clavicle
C41.4 Pelvic bones, sacrum and coccyx
C41.8 Overlapping lesion of bone and articular cartilage
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm of bone and articular cartilage whose point of origin cannot be classified to any one of the categories C40-C41.4
C41.9 Bone and articular cartilage, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Malignant neoplasms
(C00-C97)

Coding-Hint
Use additional code (U85) , if desired, to identify resistance, non-responsiveness and refractive properties of the neoplasm to antineoplastic drugs.

C43 Malignant melanoma of skin

Incl.:
morphology codes M872-M879 with behaviour code /3
Excl.:
malignant melanoma of skin of genital organs (C51-C52, C60.-, C63.-)
C43.0 Malignant melanoma of lip
Excl.:
vermilion border of lip (C00.0-C00.2)
C43.1 Malignant melanoma of eyelid, including canthus
C43.2 Malignant melanoma of ear and external auricular canal
C43.3 Malignant melanoma of other and unspecified parts of face
C43.4 Malignant melanoma of scalp and neck
C43.5 Malignant melanoma of trunk
Incl.:
Anal:
  • margin
  • skin
Perianal skin
Skin of breast
Excl.:
anus NOS (C21.0)
C43.6 Malignant melanoma of upper limb, including shoulder
C43.7 Malignant melanoma of lower limb, including hip
C43.8 Overlapping malignant melanoma of skin
Additional Text
[See note 5 at the beginning of this chapter]
C43.9 Malignant melanoma of skin, unspecified
Incl.:
Melanoma (malignant) NOS

C44 Other malignant neoplasms of skin

Incl.:
malignant neoplasm of:
  • sebaceous glands
  • sweat glands
Excl.:
Kaposi sarcoma (C46.-)
malignant melanoma of skin (C43.-)
skin of genital organs (C51-C52, C60.-, C63.-)
C44.0 Skin of lip
Incl.:
Basal cell carcinoma of lip
Excl.:
malignant neoplasm of lip (C00.-)
C44.1 Skin of eyelid, including canthus
Excl.:
connective tissue of eyelid (C49.0)
C44.2 Skin of ear and external auricular canal
Excl.:
connective tissue of ear (C49.0)
C44.3 Skin of other and unspecified parts of face
C44.4 Skin of scalp and neck
C44.5 Skin of trunk
Incl.:
Anal:
  • margin
  • skin
Perianal skin
Skin of breast
Excl.:
anus NOS (C21.0)
C44.6 Skin of upper limb, including shoulder
C44.7 Skin of lower limb, including hip
C44.8 Overlapping lesion of skin
Additional Text
[See note 5 at the beginning of this chapter]
C44.9 Malignant neoplasm of skin, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Malignant neoplasms
(C00-C97)

Coding-Hint
Use additional code (U85) , if desired, to identify resistance, non-responsiveness and refractive properties of the neoplasm to antineoplastic drugs.

C45 Mesothelioma

Incl.:
morphology code M905 with behaviour code /3
C45.0 Mesothelioma of pleura
Excl.:
other malignant neoplasms of pleura (C38.4)
C45.1 Mesothelioma of peritoneum
Incl.:
Mesentery
Mesocolon
Omentum
Peritoneum (parietal)(pelvic)
Excl.:
other malignant neoplasms of peritoneum (C48.-)
C45.2 Mesothelioma of pericardium
Excl.:
other malignant neoplasms of pericardium (C38.0)
C45.7 Mesothelioma of other sites
C45.9 Mesothelioma, unspecified

C46 Kaposi sarcoma

Incl.:
morphology code M9140 with behaviour code /3
C46.0 Kaposi sarcoma of skin
C46.1 Kaposi sarcoma of soft tissue
C46.2 Kaposi sarcoma of palate
C46.3 Kaposi sarcoma of lymph nodes
C46.7 Kaposi sarcoma of other sites
C46.8 Kaposi sarcoma of multiple organs
C46.9 Kaposi sarcoma, unspecified

C47 Malignant neoplasm of peripheral nerves and autonomic nervous system

Incl.:
sympathetic and parasympathetic nerves and ganglia
C47.0 Peripheral nerves of head, face and neck
Excl.:
peripheral nerves of orbit (C69.6)
C47.1 Peripheral nerves of upper limb, including shoulder
C47.2 Peripheral nerves of lower limb, including hip
C47.3 Peripheral nerves of thorax
C47.4 Peripheral nerves of abdomen
C47.5 Peripheral nerves of pelvis
C47.6 Peripheral nerves of trunk, unspecified
C47.8 Overlapping lesion of peripheral nerves and autonomic nervous system
Additional Text
[See note 5 at the beginning of this chapter]
C47.9 Peripheral nerves and autonomic nervous system, unspecified

C48 Malignant neoplasm of retroperitoneum and peritoneum

Excl.:
Kaposi sarcoma (C46.1)
mesothelioma (C45.-)
C48.0 Retroperitoneum
C48.1 Specified parts of peritoneum
Incl.:
Mesentery
Mesocolon
Omentum
Peritoneum:
  • parietal
  • pelvic
C48.2 Peritoneum, unspecified
C48.8 Overlapping lesion of retroperitoneum and peritoneum
Additional Text
[See note 5 at the beginning of this chapter]

C49 Malignant neoplasm of other connective and soft tissue

Incl.:
blood vessel
bursa
cartilage
fascia
fat
ligament, except uterine
lymphatic vessel
muscle
synovia
tendon (sheath)
Excl.:
cartilage (of):
connective tissue of breast (C50.-)
Kaposi sarcoma (C46.-)
mesothelioma (C45.-)
peripheral nerves and autonomic nervous system (C47.-)
peritoneum (C48.-)
retroperitoneum (C48.0)
C49.0 Connective and soft tissue of head, face and neck
Incl.:
Connective tissue of:
  • ear
  • eyelid
Excl.:
connective tissue of orbit (C69.6)
C49.1 Connective and soft tissue of upper limb, including shoulder
C49.2 Connective and soft tissue of lower limb, including hip
C49.3 Connective and soft tissue of thorax
Incl.:
Axilla
Diaphragm
Great vessels
Excl.:
breast (C50.-)
heart (C38.0)
mediastinum (C38.1-C38.3)
thymus (C37)
C49.4 Connective and soft tissue of abdomen
Incl.:
Abdominal wall
Hypochondrium
C49.5 Connective and soft tissue of pelvis
Incl.:
Buttock
Groin
Perineum
C49.6 Connective and soft tissue of trunk, unspecified
Incl.:
Back NOS
C49.8 Overlapping lesion of connective and soft tissue
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm of connective and soft tissue whose point of origin cannot be classified to any one of the categories C47-C49.6
C49.9 Connective and soft tissue, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Malignant neoplasms
(C00-C97)

Coding-Hint
Use additional code (U85) , if desired, to identify resistance, non-responsiveness and refractive properties of the neoplasm to antineoplastic drugs.

C50 Malignant neoplasm of breast

Incl.:
connective tissue of breast
Excl.:
skin of breast (C43.5, C44.5)
C50.0 Nipple and areola
C50.1 Central portion of breast
C50.2 Upper-inner quadrant of breast
C50.3 Lower-inner quadrant of breast
C50.4 Upper-outer quadrant of breast
C50.5 Lower-outer quadrant of breast
C50.6 Axillary tail of breast
C50.8 Overlapping lesion of breast
Additional Text
[See note 5 at the beginning of this chapter]
C50.9 Breast, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Malignant neoplasms
(C00-C97)

Coding-Hint
Use additional code (U85) , if desired, to identify resistance, non-responsiveness and refractive properties of the neoplasm to antineoplastic drugs.

Malignant neoplasms of female genital organs
(C51-C58)

Incl.:
skin of female genital organs

C51 Malignant neoplasm of vulva

C51.0 Labium majus
Incl.:
Bartholin [greater vestibular] gland
C51.1 Labium minus
C51.2 Clitoris
C51.8 Overlapping lesion of vulva
Additional Text
[See note 5 at the beginning of this chapter]
C51.9 Vulva, unspecified
Incl.:
External female genitalia NOS
Pudendum

C52 Malignant neoplasm of vagina

C53 Malignant neoplasm of cervix uteri

C53.0 Endocervix
C53.1 Exocervix
C53.8 Overlapping lesion of cervix uteri
Additional Text
[See note 5 at the beginning of this chapter]
C53.9 Cervix uteri, unspecified

C54 Malignant neoplasm of corpus uteri

C54.0 Isthmus uteri
Incl.:
Lower uterine segment
C54.1 Endometrium
C54.2 Myometrium
C54.3 Fundus uteri
C54.8 Overlapping lesion of corpus uteri
Additional Text
[See note 5 at the beginning of this chapter]
C54.9 Corpus uteri, unspecified

C55 Malignant neoplasm of uterus, part unspecified

C56 Malignant neoplasm of ovary

C57 Malignant neoplasm of other and unspecified female genital organs

C57.0 Fallopian tube
Incl.:
Oviduct
Uterine tube
C57.1 Broad ligament
C57.2 Round ligament
C57.3 Parametrium
Incl.:
Uterine ligament NOS
C57.4 Uterine adnexa, unspecified
C57.7 Other specified female genital organs
Incl.:
Wolffian body or duct
C57.8 Overlapping lesion of female genital organs
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm of female genital organs whose point of origin cannot be classified to any one of the categories C51-C57.7, C58
Tubo-ovarian
Utero-ovarian
C57.9 Female genital organ, unspecified
Incl.:
Female genitourinary tract NOS

C58 Malignant neoplasm of placenta

Incl.:
Choriocarcinoma NOS
Chorionepithelioma NOS
Excl.:
chorioadenoma (destruens) (D39.2)
hydatidiform mole:

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Malignant neoplasms
(C00-C97)

Coding-Hint
Use additional code (U85) , if desired, to identify resistance, non-responsiveness and refractive properties of the neoplasm to antineoplastic drugs.

Malignant neoplasms of male genital organs
(C60-C63)

Incl.:
skin of male genital organs

C60 Malignant neoplasm of penis

C60.0 Prepuce
Incl.:
Foreskin
C60.1 Glans penis
C60.2 Body of penis
Incl.:
Corpus cavernosum
C60.8 Overlapping lesion of penis
Additional Text
[See note 5 at the beginning of this chapter]
C60.9 Penis, unspecified
Incl.:
Skin of penis NOS

C61 Malignant neoplasm of prostate

C62 Malignant neoplasm of testis

C62.0 Undescended testis
Incl.:
Ectopic testis [site of neoplasm]
Retained testis [site of neoplasm]
C62.1 Descended testis
Incl.:
Scrotal testis
C62.9 Testis, unspecified

C63 Malignant neoplasm of other and unspecified male genital organs

C63.0 Epididymis
C63.1 Spermatic cord
C63.2 Scrotum
Incl.:
Skin of scrotum
C63.7 Other specified male genital organs
Incl.:
Seminal vesicle
Tunica vaginalis
C63.8 Overlapping lesion of male genital organs
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm of male genital organs whose point of origin cannot be classified to any one of the categories C60-C63.7
C63.9 Male genital organ, unspecified
Incl.:
Male genitourinary tract NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Malignant neoplasms
(C00-C97)

Coding-Hint
Use additional code (U85) , if desired, to identify resistance, non-responsiveness and refractive properties of the neoplasm to antineoplastic drugs.

C64 Malignant neoplasm of kidney, except renal pelvis

Excl.:
renal:

C65 Malignant neoplasm of renal pelvis

Incl.:
Pelviureteric junction
Renal calyces

C66 Malignant neoplasm of ureter

Excl.:
ureteric orifice of bladder (C67.6)

C67 Malignant neoplasm of bladder

C67.0 Trigone of bladder
C67.1 Dome of bladder
C67.2 Lateral wall of bladder
C67.3 Anterior wall of bladder
C67.4 Posterior wall of bladder
C67.5 Bladder neck
Incl.:
Internal urethral orifice
C67.6 Ureteric orifice
C67.7 Urachus
C67.8 Overlapping lesion of bladder
Additional Text
[See note 5 at the beginning of this chapter]
C67.9 Bladder, unspecified

C68 Malignant neoplasm of other and unspecified urinary organs

Excl.:
genitourinary tract NOS:
C68.0 Urethra
Excl.:
urethral orifice of bladder (C67.5)
C68.1 Paraurethral gland
C68.8 Overlapping lesion of urinary organs
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm of urinary organs whose point of origin cannot be classified to any one of the categories C64-C68.1
C68.9 Urinary organ, unspecified
Incl.:
Urinary system NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Malignant neoplasms
(C00-C97)

Coding-Hint
Use additional code (U85) , if desired, to identify resistance, non-responsiveness and refractive properties of the neoplasm to antineoplastic drugs.

C69 Malignant neoplasm of eye and adnexa

Excl.:
connective tissue of eyelid (C49.0)
eyelid (skin) (C43.1, C44.1)
optic nerve (C72.3)
C69.0 Conjunctiva
C69.1 Cornea
C69.2 Retina
C69.3 Choroid
C69.4 Ciliary body
C69.5 Lacrimal gland and duct
Incl.:
Lacrimal sac
Nasolacrimal duct
C69.6 Orbit
Incl.:
Connective tissue of orbit
Extraocular muscle
Peripheral nerves of orbit
Retrobulbar tissue
Retro-ocular tissue
Excl.:
orbital bone (C41.0)
C69.8 Overlapping lesion of eye and adnexa
Additional Text
[See note 5 at the beginning of this chapter]
C69.9 Eye, unspecified
Incl.:
Eyeball

C70 Malignant neoplasm of meninges

C70.0 Cerebral meninges
C70.1 Spinal meninges
C70.9 Meninges, unspecified

C71 Malignant neoplasm of brain

Excl.:
cranial nerves (C72.2-C72.5)
retrobulbar tissue (C69.6)
C71.0 Cerebrum, except lobes and ventricles
Incl.:
Supratentorial NOS
C71.1 Frontal lobe
C71.2 Temporal lobe
C71.3 Parietal lobe
C71.4 Occipital lobe
C71.5 Cerebral ventricle
Excl.:
fourth ventricle (C71.7)
C71.6 Cerebellum
C71.7 Brain stem
Incl.:
Fourth ventricle
Infratentorial NOS
C71.8 Overlapping lesion of brain
Additional Text
[See note 5 at the beginning of this chapter]
C71.9 Brain, unspecified

C72 Malignant neoplasm of spinal cord, cranial nerves and other parts of central nervous system

Excl.:
meninges (C70.-)
peripheral nerves and autonomic nervous system (C47.-)
C72.0 Spinal cord
C72.1 Cauda equina
C72.2 Olfactory nerve
Incl.:
Olfactory bulb
C72.3 Optic nerve
C72.4 Acoustic nerve
C72.5 Other and unspecified cranial nerves
Incl.:
Cranial nerve NOS
C72.8 Overlapping lesion of brain and other parts of central nervous system
Additional Text
[See note 5 at the beginning of this chapter]
Incl.:
Malignant neoplasm of brain and other parts of central nervous system whose point of origin cannot be classified to any one of the categories C70-C72.5
C72.9 Central nervous system, unspecified
Incl.:
Nervous system NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Malignant neoplasms
(C00-C97)

Coding-Hint
Use additional code (U85) , if desired, to identify resistance, non-responsiveness and refractive properties of the neoplasm to antineoplastic drugs.

C73 Malignant neoplasm of thyroid gland

C74 Malignant neoplasm of adrenal gland

C74.0 Cortex of adrenal gland
C74.1 Medulla of adrenal gland
C74.9 Adrenal gland, unspecified

C75 Malignant neoplasm of other endocrine glands and related structures

Excl.:
adrenal gland (C74.-)
endocrine pancreas (C25.4)
ovary (C56)
testis (C62.-)
thymus (C37)
thyroid gland (C73)
C75.0 Parathyroid gland
C75.1 Pituitary gland
C75.2 Craniopharyngeal duct
C75.3 Pineal gland
C75.4 Carotid body
C75.5 Aortic body and other paraganglia
C75.8 Pluriglandular involvement, unspecified
Note:

If the sites of multiple involvement are known, they should be coded separately.

C75.9 Endocrine gland, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Malignant neoplasms
(C00-C97)

Coding-Hint
Use additional code (U85) , if desired, to identify resistance, non-responsiveness and refractive properties of the neoplasm to antineoplastic drugs.

C76 Malignant neoplasm of other and ill-defined sites

Excl.:
malignant neoplasm of:
  • genitourinary tract NOS:
  • lymphoid, haematopoietic and related tissue (C81-C96)
  • unspecified site (C80.-)
C76.0 Head, face and neck
Incl.:
Cheek NOS
Nose NOS
C76.1 Thorax
Incl.:
Axilla NOS
Intrathoracic NOS
Thoracic NOS
C76.2 Abdomen
C76.3 Pelvis
Incl.:
Groin NOS
Sites overlapping systems within the pelvis, such as:
  • rectovaginal (septum)
  • rectovesical (septum)
C76.4 Upper limb
C76.5 Lower limb
C76.7 Other ill-defined sites
C76.8 Overlapping lesion of other and ill-defined sites
Additional Text
[See note 5 at the beginning of this chapter]

C77 Secondary and unspecified malignant neoplasm of lymph nodes

Excl.:
malignant neoplasm of lymph nodes, specified as primary (C81-C86, C96.-)
C77.0 Lymph nodes of head, face and neck
Incl.:
Supraclavicular lymph nodes
C77.1 Intrathoracic lymph nodes
C77.2 Intra-abdominal lymph nodes
C77.3 Axillary and upper limb lymph nodes
Incl.:
Pectoral lymph nodes
C77.4 Inguinal and lower limb lymph nodes
C77.5 Intrapelvic lymph nodes
C77.8 Lymph nodes of multiple regions
C77.9 Lymph node, unspecified

C78 Secondary malignant neoplasm of respiratory and digestive organs

C78.0 Secondary malignant neoplasm of lung
C78.1 Secondary malignant neoplasm of mediastinum
C78.2 Secondary malignant neoplasm of pleura
Incl.:
Malignant pleural effusion NOS
C78.3 Secondary malignant neoplasm of other and unspecified respiratory organs
C78.4 Secondary malignant neoplasm of small intestine
C78.5 Secondary malignant neoplasm of large intestine and rectum
C78.6 Secondary malignant neoplasm of retroperitoneum and peritoneum
Incl.:
Malignant ascites NOS
C78.7 Secondary malignant neoplasm of liver and intrahepatic bile duct
C78.8 Secondary malignant neoplasm of other and unspecified digestive organs

C79 Secondary malignant neoplasm of other and unspecified sites

C79.0 Secondary malignant neoplasm of kidney and renal pelvis
C79.1 Secondary malignant neoplasm of bladder and other and unspecified urinary organs
C79.2 Secondary malignant neoplasm of skin
C79.3 Secondary malignant neoplasm of brain and cerebral meninges
C79.4 Secondary malignant neoplasm of other and unspecified parts of nervous system
C79.5 Secondary malignant neoplasm of bone and bone marrow
C79.6 Secondary malignant neoplasm of ovary
C79.7 Secondary malignant neoplasm of adrenal gland
C79.8 Secondary malignant neoplasm of other specified sites
C79.9 Secondary malignant neoplasm, unspecified site
Incl.:
Carcinomatosis (secondary)
Disseminated (secondary):
  • cancer NOS
  • malignancy NOS
Generalized (secondary):
  • cancer NOS
  • malignancy NOS
Multiple secondary cancer NOS
Sarcomatosis (secondary) NOS

C80 Malignant neoplasm, without specification of site

C80.0 Malignant neoplasm, primary site unknown, so stated
Incl.:
Primary site unknown
C80.9 Malignant neoplasm, primary site unspecified
Incl.:
Cancer NOS
Carcinoma NOS
Malignancy NOS
Malignant cachexia NOS
Multiple cancer NOS
Excl.:
multiple secondary cancer NOS (C79.9)
secondary malignant neoplasm, unspecified site (C79.9)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Malignant neoplasms
(C00-C97)

Coding-Hint
Use additional code (U85) , if desired, to identify resistance, non-responsiveness and refractive properties of the neoplasm to antineoplastic drugs.

C81 Hodgkin lymphoma

C81.0 Nodular lymphocyte predominant Hodgkin lymphoma
C81.1 Nodular sclerosis (classical) Hodgkin lymphoma
C81.2 Mixed cellularity (classical) Hodgkin lymphoma
C81.3 Lymphocyte depleted (classical) Hodgkin lymphoma
C81.4 Lymphocyte-rich (classical) Hodgkin lymphoma
Excl.:
nodular lymphocyte predominant Hodgkin lymphoma (C81.0)
C81.7 Other (classical) Hodgkin lymphoma
Incl.:
Classic Hodgkin lymphoma, type not specified
C81.9 Hodgkin lymphoma, unspecified

C82 Follicular lymphoma

Incl.:
follicular lymphoma with or without diffuse areas
Excl.:
mature T/NK-cell lymphoma (C84.-)
C82.0 Follicular lymphoma grade I
C82.1 Follicular lymphoma grade II
C82.2 Follicular lymphoma grade III, unspecified
C82.3 Follicular lymphoma grade IIIa
C82.4 Follicular lymphoma grade IIIb
C82.5 Diffuse follicle centre lymphoma
C82.6 Cutaneous follicle centre lymphoma
C82.7 Other types of follicular lymphoma
C82.9 Follicular lymphoma, unspecified
Incl.:
Nodular lymphoma NOS

C83 Non-follicular lymphoma

C83.0 Small cell B-cell lymphoma
Incl.:
Lymphoplasmacytic lymphoma
Nodal marginal zone lymphoma
Non-leukaemic variant of B-CLL
Splenic marginal zone lymphoma
Excl.:
Chronic lymphocytic leukaemia (C91.1)
Waldenström macroglobulinaemia (C88.0)
mature T/NK-cell lymphomas (C84.-)
C83.1 Mantle cell lymphoma
Incl.:
Centrocytic lymphoma
Malignant lymphomatous polyposis
C83.3 Diffuse large B-cell lymphoma
Incl.:
  • Anaplastic
  • CD30-positive
  • Centroblastic
  • Plasmablastic
  • Immunoblastic
  • Subtype not specified
  • T-cell rich
  • diffuse large B-cell lymphoma
Excl.:
mediastinal (thymic) large B-cell lymphoma (C85.2)
mature T/NK-cell lymphomas (C84.-)
C83.5 Lymphoblastic (diffuse) lymphoma
Incl.:
B-cell precursor lymphoma
Lymphoblastic B-cell lymphoma
Lymphoblastic lymphoma NOS
Lymphoblastic T-cell lymphoma
T-cell precursor lymphoma
C83.7 Burkitt lymphoma
Incl.:
Atypical Burkitt lymphoma
“Burkitt-like” lymphoma
Excl.:
mature B-cell leukaemia Burkitt-type (C91.8)
C83.8 Other non-follicular lymphoma
Incl.:
Primary effusion B-cell lymphoma
Intravascular large B-cell lymphoma
Lymphoid granulomatosis
Excl.:
mediastinal (thymic) large B-cell lymphoma (C85.2)
T-cell rich B-cell lymphoma (C83.3)
C83.9 Non-follicular (diffuse) lymphoma, unspecified

C84 Mature T/NK-cell lymphomas

C84.0 Mycosis fungoides
C84.1 Sézary disease
C84.4 Peripheral T-cell lymphoma, not elsewhere classified
Incl.:
Lennert’s lymphoma
Lymphoepithelioid lymphoma
C84.5 Other mature T/NK-cell lymphomas
Note:

If T-cell lineage or involvement is mentioned in conjunction with a specific lymphoma, code to the more specific description.

Excl.:
angioimmunoblastic T-cell lymphoma (C86.5)
blastic NK-cell lymphoma (C86.4)
enteropathy-type T-cell lymphoma (C86.2)
extranodal NK-cell lymphoma, nasal type (C86.0)
hepatosplenic T-cell lymphoma (C86.1)
primary cutaneous CD30-positive T-cell proliferations (C86.6)
subcutaneous panniculitis-like T-cell lymphoma (C86.3)
T-cell leukaemia (C91.-)
C84.6 Anaplastic large cell lymphoma, ALK-positive
Incl.:
Anaplastic large cell lymphoma, CD30-positive
C84.7 Anaplastic large cell lymphoma, ALK-negative
Excl.:
primary cutaneous CD30-positive T-cell proliferations (C86.6)
C84.8 Cutaneous T-cell lymphoma, unspecified
C84.9 Mature T/NK-cell lymphoma, unspecified
Incl.:
NK/T cell lymphoma NOS
Excl.:
mature T-cell lymphoma, not elsewhere classified (C84.4)

C85 Other and unspecified types of non-Hodgkin lymphoma

C85.1 B-cell lymphoma, unspecified
Note:

If B-cell lineage or involvement is mentioned in conjunction with a specific lymphoma, code to the more specific description.

C85.2 Mediastinal (thymic) large B-cell lymphoma
C85.7 Other specified types of non-Hodgkin lymphoma
C85.9 Non-Hodgkin lymphoma, unspecified
Incl.:
Lymphoma NOS
Malignant lymphoma NOS
Non-Hodgkin lymphoma NOS

C86 Other specified types of T/NK-cell lymphoma

Excl.:
anaplastic large cell lymphoma, ALK negative (C84.7)
anaplastic large cell lymphoma, ALK positive (C84.6)
C86.0 Extranodal NK/T-cell lymphoma, nasal type
C86.1 Hepatosplenic T-cell lymphoma
Incl.:
Alpha-beta and gamma-delta types
C86.2 Enteropathy-type (intestinal) T-cell lymphoma
Incl.:
Enteropathy associated T-cell lymphoma
C86.3 Subcutaneous panniculitis-like T-cell lymphoma
C86.4 Blastic NK-cell lymphoma
C86.5 Angioimmunoblastic T-cell lymphoma
Incl.:
Angioimmunoblastic lymphadenopathy with dysproteinaemia [AILD]
C86.6 Primary cutaneous CD30-positive T-cell proliferations
Incl.:
Lymphomatoid papulosis
Primary cutaneous anaplastic large-cell lymphoma
Primary cutaneous CD30-positive large T-cell lymphoma

C88 Malignant immunoproliferative diseases

C88.0 Waldenström macroglobulinaemia
Incl.:
Lymphoplasmacytic lymphoma with IgM-production
Macroglobulinaemia (primary)(idiopathic)
Excl.:
small cell B-cell lymphoma (C83.0)
C88.2 Other heavy chain disease
Incl.:
Franklin disease
Gamma heavy chain disease
Mu (µ) heavy chain disease
C88.3 Immunoproliferative small intestinal disease
Incl.:
Alpha heavy chain disease
Mediterranean lymphoma
C88.4 Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue [MALT-lyphoma]
Note:

Use additional code (C83.3) if desired, to specify transition to high malignant (diffuse large cell) lymphoma

Incl.:
Lymphoma of skin-associated lymphoid tissue (SALT-lymphoma)
Lymphoma of bronchial-associated lymphoid tissue (BALT-lymphoma)
C88.7 Other malignant immunoproliferative diseases
C88.9 Malignant immunoproliferative disease, unspecified
Incl.:
Immunoproliferative disease NOS

C90 Multiple myeloma and malignant plasma cell neoplasms

C90.0 Multiple myeloma
Incl.:
Kahler disease
Medullary plasmacytoma
Myelomatosis
Plasma cell myeloma
Excl.:
solitary plasmacytoma (C90.3)
C90.1 Plasma cell leukaemia
Incl.:
Plasmacytic leukaemia
C90.2 Extramedullary plasmacytoma
C90.3 Solitary plasmacytoma
Incl.:
Localized malignant plasma cell tumour NOS
Plasmacytoma NOS
Solitary myeloma

C91 Lymphoid leukaemia

C91.0 Acute lymphoblastic leukaemia [ALL]
Note:
This code should only be used for T-cell and B-cell precursor leukeamia
C91.1 Chronic lymphocytic leukaemia of B-cell type
Incl.:
Lymphoplasmacytic leukaemia
Richter syndrome
Excl.:
lymphoplasmacytic lymphoma (C83.0)
C91.3 Prolymphocytic leukaemia of B-cell type
C91.4 Hairy-cell leukaemia
Incl.:
Leukaemic reticuloendotheliosis
C91.5 Adult T-cell lymphoma/leukaemia [HTLV-1-associated]
Incl.:
  • Acute
  • Chronic
  • Lymphomatoid
  • Smouldering
  • variant
C91.6 Prolymphocytic leukaemia of T-cell type
C91.7 Other lymphoid leukaemia
Incl.:
T-cell large granular lymphocytic leukaemia (associated with rheumatoid arthritis)
C91.8 Mature B-cell leukaemia Burkitt-type
Excl.:
Burkitt lymphoma with little or no bone marrow infiltration (C83.7)
C91.9 Lymphoid leukaemia, unspecified

C92 Myeloid leukaemia

Incl.:
leukaemia:
  • granulocytic
  • myelogenous
C92.0 Acute myeloblastic leukaemia [AML]
Incl.:
Acute myeloblastic leukaemia, minimal differentiation
Acute myeloblastic leukaemia (with maturation)
AML1/ETO
AML M0
AML M1
AML M2
AML with t(8;21)
AML (without a FAB classification) NOS
Refractory anaemia with excess blasts in transformation
Excl.:
acute exacerbation of chronic myeloid leukaemia (C92.1)
C92.1 Chronic myeloid leukaemia [CML], BCR/ABL-positive
Incl.:
Chronic myelogenous leukaemia:
  • Philadelphia chromosome (Ph1) positive
  • t(9:22)(q34; q11)
  • with crisis of blast cells
Excl.:
atypical chronic myeloid leukaemia, BCR/ABL-negative (C92.2)
chronic myelomonocytic leukaemia (C93.1)
unclassified myeloproliferative disease (D47.1)
C92.2 Atypical chronic myeloid leukaemia, BCR/ABL- negative
C92.3 Myeloid sarcoma
Note:
a tumour of immature myeloid cells
Incl.:
Chloroma
Granulocytic sarcoma
C92.4 Acute promyelocytic leukaemia [PML]
Incl.:
AML M3
AML Me with t(15; 17) and variants
C92.5 Acute myelomonocytic leukaemia
Incl.:
AML M4
AML M4 Eo with inv(16) or t(16;16)
C92.6 Acute myeloid leukaemia with 11q23-abnormality
Incl.:
Acute myeloid leukaemia with variation of MLL-gene
C92.7 Other myeloid leukaemia
Excl.:
chronic eosinophilic leukaemia [hypereosinophilic syndrome] (D47.5)
C92.8 Acute myeloid leukaemia with multilineage dysplasia
Note:
Acute myeloid leukaemia with dysplasia of remaining haematopoesis and/or myelodysplastic disease in its history.
C92.9 Myeloid leukaemia, unspecified

C93 Monocytic leukaemia

Incl.:
monocytoid leukaemia
C93.0 Acute monoblastic/monocytic leukaemia
Incl.:
AML M5a
AML M5b
AML M5
C93.1 Chronic myelomonocytic leukaemia
Incl.:
Chronic monocytic leukaemia
CMML-1
CMML-2
CMML with eosinophilia
C93.3 Juvenile myelomonocytic leukaemia
C93.7 Other monocytic leukaemia
C93.9 Monocytic leukaemia, unspecified

C94 Other leukaemias of specified cell type

Excl.:
leukaemic reticuloendotheliosis (C91.4)
plasma cell leukaemia (C90.1)
C94.0 Acute erythroid leukaemia
Incl.:
Acute myeloid leukaemia M6 (a)(b)
Erythroleukaemia
C94.2 Acute megakaryoblastic leukaemia
Incl.:
Acute myeloid leukaemia, M7
Acute megakaryocytic leukaemia
C94.3 Mast cell leukaemia
C94.4 Acute panmyelosis with myelofibrosis
Incl.:
Acute myelofibrosis
C94.6 Myelodysplastic and myeloproliferative disease, not elsewhere classified
C94.7 Other specified leukaemias
Incl.:
Aggressive NK-cell leukaemia
Acute basophilic leukaemia

C95 Leukaemia of unspecified cell type

C95.0 Acute leukaemia of unspecified cell type
Incl.:
Acute bilineal leukaemia
Acute mixed lineage leukaemia
Biphenotypic acute leukaemia
Stem cell leukaemia of unclear lineage
Excl.:
acute exacerbation of unspecified chronic leukaemia (C95.1)
C95.1 Chronic leukaemia of unspecified cell type
C95.7 Other leukaemia of unspecified cell type
C95.9 Leukaemia, unspecified

C96 Other and unspecified malignant neoplasms of lymphoid, haematopoietic and related tissue

C96.0 Multifocal and multisystemic (disseminated) Langerhans-cell histiocytosis [Letterer-Siwe disease]
Incl.:
Histiocytosis X, multisystemic
C96.2 Malignant mast cell tumour
Incl.:
Aggressive systemic mastocytosis
Mast cell sarcoma
Excl.:
indolent mastocytosis (D47.0)
mast cell leukaemia (C94.3)
mastocytosis (congenital) (cutaneous) (Q82.2)
C96.4 Sarcoma of dendritic cells (accessory cells)
Incl.:
Interdigiting dendritic cell sarcoma
Langerhans-cell sarcoma
Sarcoma of follicular dendritic cells
C96.5 Multifocal and unisystemic Langerhans-cell histiocytosis
Incl.:
Hand-Schüller-Christian disease
Histiocytosis X, multifocal
C96.6 Unifocal Langerhans-cell histiocytosis
Incl.:
Eosinophilic granuloma
Histiocytosis X, unifocal
Histiocytosis X NOS
Langerhans-cell histiocytosis NOS
C96.7 Other specified malignant neoplasms of lymphoid, haematopoietic and related tissue
C96.8 Histiocytic sarcoma
Incl.:
Malignant Histiocytosis
C96.9 Malignant neoplasm of lymphoid, haematopoietic and related tissue, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Malignant neoplasms
(C00-C97)

Coding-Hint
Use additional code (U85) , if desired, to identify resistance, non-responsiveness and refractive properties of the neoplasm to antineoplastic drugs.

C97 Malignant neoplasms of independent (primary) multiple sites

Note:

For use of this category, reference should be made to the mortality coding rules and guidelines in Volume 2.

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

In situ neoplasms
(D00-D09)

Note:

Many in situ neoplasms are regarded as being located within a continuum of morphological change between dysplasia and invasive cancer. For example, for cervical intraepithelial neoplasia (CIN) three grades are recognized, the third of which (CIN III) includes both severe dysplasia and carcinoma in situ. This system of grading has been extended to other organs, such as vulva and vagina. Descriptions of grade III intraepithelial neoplasia, with or without mention of severe dysplasia, are assigned to this section; grades I and II are classified as dysplasia of the organ system involved and should be coded to the relevant body system chapter.

Incl.:
Bowen disease
erythroplasia
morphology codes with behaviour code /2
Queyrat erythroplasia

D00 Carcinoma in situ of oral cavity, oesophagus and stomach

Excl.:
melanoma in situ (D03.-)
D00.0 Lip, oral cavity and pharynx
Incl.:
Aryepiglottic fold:
  • NOS
  • hypopharyngeal aspect
  • marginal zone
Vermilion border of lip
Excl.:
aryepiglottic fold, laryngeal aspect (D02.0)
epiglottis:
skin of lip (D03.0, D04.0)
D00.1 Oesophagus
D00.2 Stomach

D01 Carcinoma in situ of other and unspecified digestive organs

Excl.:
melanoma in situ (D03.-)
D01.0 Colon
Excl.:
rectosigmoid junction (D01.1)
D01.1 Rectosigmoid junction
D01.2 Rectum
D01.3 Anus and anal canal
Excl.:
anal:
perianal skin (D03.5, D04.5)
D01.4 Other and unspecified parts of intestine
Excl.:
ampulla of Vater (D01.5)
D01.5 Liver, gallbladder and bile ducts
Incl.:
Ampulla of Vater
D01.7 Other specified digestive organs
Incl.:
Pancreas
D01.9 Digestive organ, unspecified

D02 Carcinoma in situ of middle ear and respiratory system

Excl.:
melanoma in situ (D03.-)
D02.0 Larynx
Incl.:
Aryepiglottic fold, laryngeal aspect
Epiglottis (suprahyoid portion)
Excl.:
aryepiglottic fold:
D02.1 Trachea
D02.2 Bronchus and lung
D02.3 Other parts of respiratory system
Incl.:
Accessory sinuses
Middle ear
Nasal cavities
Excl.:
ear (external)(skin) (D03.2, D04.2)
nose:
D02.4 Respiratory system, unspecified

D03 Melanoma in situ

Incl.:
morphology codes M872-M879 with behaviour code /2
D03.0 Melanoma in situ of lip
D03.1 Melanoma in situ of eyelid, including canthus
D03.2 Melanoma in situ of ear and external auricular canal
D03.3 Melanoma in situ of other and unspecified parts of face
D03.4 Melanoma in situ of scalp and neck
D03.5 Melanoma in situ of trunk
Incl.:
Anal:
  • margin
  • skin
Breast (skin)(soft tissue)
Perianal skin
D03.6 Melanoma in situ of upper limb, including shoulder
D03.7 Melanoma in situ of lower limb, including hip
D03.8 Melanoma in situ of other sites
D03.9 Melanoma in situ, unspecified

D04 Carcinoma in situ of skin

Excl.:
erythroplasia of Queyrat (penis) NOS (D07.4)
melanoma in situ (D03.-)
D04.0 Skin of lip
Excl.:
vermilion border of lip (D00.0)
D04.1 Skin of eyelid, including canthus
D04.2 Skin of ear and external auricular canal
D04.3 Skin of other and unspecified parts of face
D04.4 Skin of scalp and neck
D04.5 Skin of trunk
Incl.:
Anal:
  • margin
  • skin
Perianal skin
Skin of breast
Excl.:
anus NOS (D01.3)
skin of genital organs (D07.-)
D04.6 Skin of upper limb, including shoulder
D04.7 Skin of lower limb, including hip
D04.8 Skin of other sites
D04.9 Skin, unspecified

D05 Carcinoma in situ of breast

Excl.:
carcinoma in situ of skin of breast (D04.5)
melanoma in situ of breast (skin) (D03.5)
D05.0 Lobular carcinoma in situ
D05.1 Intraductal carcinoma in situ
D05.7 Other carcinoma in situ of breast
D05.9 Carcinoma in situ of breast, unspecified

D06 Carcinoma in situ of cervix uteri

Incl.:
cervical intraepithelial neoplasia [CIN], grade III, with or without mention of severe dysplasia
Excl.:
melanoma in situ of cervix (D03.5)
severe dysplasia of cervix NOS (N87.2)
D06.0 Endocervix
D06.1 Exocervix
D06.7 Other parts of cervix
D06.9 Cervix, unspecified

D07 Carcinoma in situ of other and unspecified genital organs

Excl.:
melanoma in situ (D03.5)
D07.0 Endometrium
D07.1 Vulva
Incl.:
Vulvar intraepithelial neoplasia [VIN], grade III, with or without mention of severe dysplasia
Excl.:
severe dysplasia of vulva NOS (N90.2)
D07.2 Vagina
Incl.:
Vaginal intraepithelial neoplasia [VAIN], grade III, with or without mention of severe dysplasia
Excl.:
severe dysplasia of vagina NOS (N89.2)
D07.3 Other and unspecified female genital organs
D07.4 Penis
Incl.:
Erythroplasia of Queyrat NOS
D07.5 Prostate
Excl.:
low-grade dysplasia of prostate (N42.3)
D07.6 Other and unspecified male genital organs

D09 Carcinoma in situ of other and unspecified sites

Excl.:
melanoma in situ (D03.-)
D09.0 Bladder
D09.1 Other and unspecified urinary organs
D09.2 Eye
Excl.:
skin of eyelid (D04.1)
D09.3 Thyroid and other endocrine glands
Excl.:
endocrine pancreas (D01.7)
ovary (D07.3)
testis (D07.6)
D09.7 Carcinoma in situ of other specified sites
D09.9 Carcinoma in situ, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Benign neoplasms
(D10-D36)

Incl.:
morphology codes with behaviour code /0

D10 Benign neoplasm of mouth and pharynx

D10.0 Lip
Incl.:
Lip (frenulum)(inner aspect)(mucosa)(vermilion border)
Excl.:
skin of lip (D22.0, D23.0)
D10.1 Tongue
Incl.:
Lingual tonsil
D10.2 Floor of mouth
D10.3 Other and unspecified parts of mouth
Incl.:
Minor salivary gland NOS
Excl.:
benign odontogenic neoplasms (D16.4-D16.5)
mucosa of lip (D10.0)
nasopharyngeal surface of soft palate (D10.6)
D10.4 Tonsil
Incl.:
Tonsil (faucial)(palatine)
Excl.:
lingual tonsil (D10.1)
pharyngeal tonsil (D10.6)
tonsillar:
D10.5 Other parts of oropharynx
Incl.:
Epiglottis, anterior aspect
Tonsillar:
  • fossa
  • pillars
Vallecula
Excl.:
epiglottis:
D10.6 Nasopharynx
Incl.:
Pharyngeal tonsil
Posterior margin of septum and choanae
D10.7 Hypopharynx
D10.9 Pharynx, unspecified

D11 Benign neoplasm of major salivary glands

Excl.:
benign neoplasms of specified minor salivary glands which are classified according to their anatomical location
benign neoplasms of minor salivary glands NOS (D10.3)
D11.0 Parotid gland
D11.7 Other major salivary glands
Incl.:
Gland:
  • sublingual
  • submandibular
D11.9 Major salivary gland, unspecified

D12 Benign neoplasm of colon, rectum, anus and anal canal

D12.0 Caecum
Incl.:
Ileocaecal valve
D12.1 Appendix
D12.2 Ascending colon
D12.3 Transverse colon
Incl.:
Hepatic flexure
Splenic flexure
D12.4 Descending colon
D12.5 Sigmoid colon
D12.6 Colon, unspecified
Incl.:
Adenomatosis of colon
Large intestine NOS
Polyposis (hereditary) of colon
D12.7 Rectosigmoid junction
D12.8 Rectum
D12.9 Anus and anal canal
Excl.:
anal:
perianal skin (D22.5, D23.5)

D13 Benign neoplasm of other and ill-defined parts of digestive system

D13.0 Oesophagus
D13.1 Stomach
D13.2 Duodenum
D13.3 Other and unspecified parts of small intestine
D13.4 Liver
Incl.:
Intrahepatic bile ducts
D13.5 Extrahepatic bile ducts
D13.6 Pancreas
Excl.:
endocrine pancreas (D13.7)
D13.7 Endocrine pancreas
Incl.:
Islet cell tumour
Islets of Langerhans
D13.9 Ill-defined sites within the digestive system
Incl.:
Digestive system NOS
Intestine NOS
Spleen

D14 Benign neoplasm of middle ear and respiratory system

D14.0 Middle ear, nasal cavity and accessory sinuses
Incl.:
Cartilage of nose
Excl.:
auricular canal (external) (D22.2, D23.2)
bone of:
cartilage of ear (D21.0)
ear (external)(skin) (D22.2, D23.2)
nose:
olfactory bulb (D33.3)
polyp (of):
posterior margin of septum and choanae (D10.6)
D14.1 Larynx
Incl.:
Epiglottis (suprahyoid portion)
Excl.:
epiglottis, anterior aspect (D10.5)
polyp of vocal cord and larynx (J38.1)
D14.2 Trachea
D14.3 Bronchus and lung
D14.4 Respiratory system, unspecified

D15 Benign neoplasm of other and unspecified intrathoracic organs

Excl.:
mesothelial tissue (D19.-)
D15.0 Thymus
D15.1 Heart
Excl.:
great vessels (D21.3)
D15.2 Mediastinum
D15.7 Other specified intrathoracic organs
D15.9 Intrathoracic organ, unspecified

D16 Benign neoplasm of bone and articular cartilage

Excl.:
connective tissue of:
synovia (D21.-)
D16.0 Scapula and long bones of upper limb
D16.1 Short bones of upper limb
D16.2 Long bones of lower limb
D16.3 Short bones of lower limb
D16.4 Bones of skull and face
Incl.:
Maxilla (superior)
Orbital bone
Excl.:
lower jaw bone (D16.5)
D16.5 Lower jaw bone
D16.6 Vertebral column
Excl.:
sacrum and coccyx (D16.8)
D16.7 Ribs, sternum and clavicle
D16.8 Pelvic bones, sacrum and coccyx
D16.9 Bone and articular cartilage, unspecified

D17 Benign lipomatous neoplasm

Incl.:
morphology codes M885-M888 with behaviour code /0
D17.0 Benign lipomatous neoplasm of skin and subcutaneous tissue of head, face and neck
D17.1 Benign lipomatous neoplasm of skin and subcutaneous tissue of trunk
D17.2 Benign lipomatous neoplasm of skin and subcutaneous tissue of limbs
D17.3 Benign lipomatous neoplasm of skin and subcutaneous tissue of other and unspecified sites
D17.4 Benign lipomatous neoplasm of intrathoracic organs
D17.5 Benign lipomatous neoplasm of intra-abdominal organs
Excl.:
peritoneum and retroperitoneum (D17.7)
D17.6 Benign lipomatous neoplasm of spermatic cord
D17.7 Benign lipomatous neoplasm of other sites
Incl.:
Peritoneum
Retroperitoneum
D17.9 Benign lipomatous neoplasm, unspecified
Incl.:
Lipoma NOS

D18 Haemangioma and lymphangioma, any site

Incl.:
morphology codes M912-M917 with behaviour code /0
Excl.:
blue or pigmented naevus (D22.-)
D18.0 Haemangioma, any site
Incl.:
Angioma NOS
D18.1 Lymphangioma, any site

D19 Benign neoplasm of mesothelial tissue

Incl.:
morphology code M905 with behaviour code /0
D19.0 Mesothelial tissue of pleura
D19.1 Mesothelial tissue of peritoneum
D19.7 Mesothelial tissue of other sites
D19.9 Mesothelial tissue, unspecified
Incl.:
Benign mesothelioma NOS

D20 Benign neoplasm of soft tissue of retroperitoneum and peritoneum

Excl.:
benign lipomatous neoplasm of peritoneum and retroperitoneum (D17.7)
mesothelial tissue (D19.-)
D20.0 Retroperitoneum
D20.1 Peritoneum

D21 Other benign neoplasms of connective and other soft tissue

Incl.:
blood vessel
bursa
cartilage
fascia
fat
ligament, except uterine
lymphatic channel
muscle
synovia
tendon (sheath)
Excl.:
cartilage:
connective tissue of breast (D24)
haemangioma (D18.0)
lipomatous neoplasm (D17.-)
lymphangioma (D18.1)
peripheral nerves and autonomic nervous system (D36.1)
peritoneum (D20.1)
retroperitoneum (D20.0)
uterine:
vascular tissue (D18.-)
D21.0 Connective and other soft tissue of head, face and neck
Incl.:
Connective tissue of:
  • ear
  • eyelid
Excl.:
connective tissue of orbit (D31.6)
D21.1 Connective and other soft tissue of upper limb, including shoulder
D21.2 Connective and other soft tissue of lower limb, including hip
D21.3 Connective and other soft tissue of thorax
Incl.:
Axilla
Diaphragm
Great vessels
Excl.:
heart (D15.1)
mediastinum (D15.2)
thymus (D15.0)
D21.4 Connective and other soft tissue of abdomen
D21.5 Connective and other soft tissue of pelvis
Excl.:
uterine:
D21.6 Connective and other soft tissue of trunk, unspecified
Incl.:
Back NOS
D21.9 Connective and other soft tissue, unspecified

D22 Melanocytic naevi

Incl.:
morphology codes M872-M879 with behaviour code /0
naevus:
  • NOS
  • blue
  • hairy
  • pigmented
D22.0 Melanocytic naevi of lip
D22.1 Melanocytic naevi of eyelid, including canthus
D22.2 Melanocytic naevi of ear and external auricular canal
D22.3 Melanocytic naevi of other and unspecified parts of face
D22.4 Melanocytic naevi of scalp and neck
D22.5 Melanocytic naevi of trunk
Incl.:
Anal:
  • margin
  • skin
Perianal skin
Skin of breast
D22.6 Melanocytic naevi of upper limb, including shoulder
D22.7 Melanocytic naevi of lower limb, including hip
D22.9 Melanocytic naevi, unspecified

D23 Other benign neoplasms of skin

Incl.:
benign neoplasm of:
  • hair follicles
  • sebaceous glands
  • sweat glands
Excl.:
benign lipomatous neoplasms (D17.0-D17.3)
melanocytic naevi (D22.-)
D23.0 Skin of lip
Excl.:
vermilion border of lip (D10.0)
D23.1 Skin of eyelid, including canthus
D23.2 Skin of ear and external auricular canal
D23.3 Skin of other and unspecified parts of face
D23.4 Skin of scalp and neck
D23.5 Skin of trunk
Incl.:
Anal:
  • margin
  • skin
Perianal skin
Skin of breast
Excl.:
anus NOS (D12.9)
skin of genital organs (D28-D29)
D23.6 Skin of upper limb, including shoulder
D23.7 Skin of lower limb, including hip
D23.9 Skin, unspecified

D24 Benign neoplasm of breast

Incl.:
Breast:
  • connective tissue
  • soft parts
Excl.:
benign mammary dysplasia (N60.-)
skin of breast (D22.5, D23.5)

D25 Leiomyoma of uterus

Incl.:
benign neoplasms of uterus with morphology code M889 and behaviour code /0
fibromyoma of uterus
D25.0 Submucous leiomyoma of uterus
D25.1 Intramural leiomyoma of uterus
D25.2 Subserosal leiomyoma of uterus
D25.9 Leiomyoma of uterus, unspecified

D26 Other benign neoplasms of uterus

D26.0 Cervix uteri
D26.1 Corpus uteri
D26.7 Other parts of uterus
D26.9 Uterus, unspecified

D27 Benign neoplasm of ovary

D28 Benign neoplasm of other and unspecified female genital organs

Incl.:
adenomatous polyp
skin of female genital organs
D28.0 Vulva
D28.1 Vagina
D28.2 Uterine tubes and ligaments
Incl.:
Fallopian tube
Uterine ligament (broad)(round)
D28.7 Other specified female genital organs
D28.9 Female genital organ, unspecified

D29 Benign neoplasm of male genital organs

Incl.:
skin of male genital organs
D29.0 Penis
D29.1 Prostate
Excl.:
hyperplasia of prostate (adenomatous) (N40)
prostatic:
  • enlargement (N40)
  • hypertrophy (N40)
D29.2 Testis
D29.3 Epididymis
D29.4 Scrotum
Incl.:
Skin of scrotum
D29.7 Other male genital organs
Incl.:
Seminal vesicle
Spermatic cord
Tunica vaginalis
D29.9 Male genital organ, unspecified

D30 Benign neoplasm of urinary organs

D30.0 Kidney
Excl.:
renal:
D30.1 Renal pelvis
D30.2 Ureter
Excl.:
ureteric orifice of bladder (D30.3)
D30.3 Bladder
Incl.:
Orifice of bladder:
  • urethral
  • ureteric
D30.4 Urethra
Excl.:
urethral orifice of bladder (D30.3)
D30.7 Other urinary organs
Incl.:
Paraurethral glands
D30.9 Urinary organ, unspecified
Incl.:
Urinary system NOS

D31 Benign neoplasm of eye and adnexa

Excl.:
connective tissue of eyelid (D21.0)
optic nerve (D33.3)
skin of eyelid (D22.1, D23.1)
D31.0 Conjunctiva
D31.1 Cornea
D31.2 Retina
D31.3 Choroid
D31.4 Ciliary body
D31.5 Lacrimal gland and duct
Incl.:
Lacrimal sac
Nasolacrimal duct
D31.6 Orbit, unspecified
Incl.:
Connective tissue of orbit
Extraocular muscle
Peripheral nerves of orbit
Retrobulbar tissue
Retro-ocular tissue
Excl.:
orbital bone (D16.4)
D31.9 Eye, unspecified
Incl.:
Eyeball

D32 Benign neoplasm of meninges

D32.0 Cerebral meninges
D32.1 Spinal meninges
D32.9 Meninges, unspecified
Incl.:
Meningioma NOS

D33 Benign neoplasm of brain and other parts of central nervous system

Excl.:
angioma (D18.0)
meninges (D32.-)
peripheral nerves and autonomic nervous system (D36.1)
retro-ocular tissue (D31.6)
D33.0 Brain, supratentorial
Incl.:
Cerebral ventricle
Cerebrum
  • Frontal
  • Occipital
  • Parietal
  • Temporal
  • lobe
Excl.:
fourth ventricle (D33.1)
D33.1 Brain, infratentorial
Incl.:
Brain stem
Cerebellum
Fourth ventricle
D33.2 Brain, unspecified
D33.3 Cranial nerves
Incl.:
Olfactory bulb
D33.4 Spinal cord
D33.7 Other specified parts of central nervous system
D33.9 Central nervous system, unspecified
Incl.:
Nervous system (central) NOS

D34 Benign neoplasm of thyroid gland

D35 Benign neoplasm of other and unspecified endocrine glands

Excl.:
endocrine pancreas (D13.7)
ovary (D27)
testis (D29.2)
thymus (D15.0)
D35.0 Adrenal gland
D35.1 Parathyroid gland
D35.2 Pituitary gland
D35.3 Craniopharyngeal duct
D35.4 Pineal gland
D35.5 Carotid body
D35.6 Aortic body and other paraganglia
D35.7 Other specified endocrine glands
D35.8 Pluriglandular involvement
D35.9 Endocrine gland, unspecified

D36 Benign neoplasm of other and unspecified sites

D36.0 Lymph nodes
D36.1 Peripheral nerves and autonomic nervous system
Excl.:
peripheral nerves of orbit (D31.6)
D36.7 Other specified sites
Incl.:
Nose NOS
D36.9 Benign neoplasm of unspecified site

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

Neoplasms of uncertain or unknown behaviour
(D37-D48)

Note:

Categories D37-D48 classify by site neoplasms of uncertain or unknown behaviour, i.e., there is doubt whether the neoplasm is malignant or benign. Such neoplasms are assigned behaviour code /1 in the classification of the morphology of neoplasms.

D37 Neoplasm of uncertain or unknown behaviour of oral cavity and digestive organs

D37.0 Lip, oral cavity and pharynx
Incl.:
Aryepiglottic fold:
  • NOS
  • hypopharyngeal aspect
  • marginal zone
Major and minor salivary glands
Vermilion border of lip
Excl.:
aryepiglottic fold, laryngeal aspect (D38.0)
epiglottis:
skin of lip (D48.5)
D37.1 Stomach
D37.2 Small intestine
D37.3 Appendix
D37.4 Colon
D37.5 Rectum
Incl.:
Rectosigmoid junction
D37.6 Liver, gallbladder and bile ducts
Incl.:
Ampulla of Vater
D37.7 Other digestive organs
Incl.:
Anal:
  • canal
  • sphincter
Anus NOS
Intestine NOS
Oesophagus
Pancreas
Excl.:
anal:
perianal skin (D48.5)
D37.9 Digestive organ, unspecified

D38 Neoplasm of uncertain or unknown behaviour of middle ear and respiratory and intrathoracic organs

Excl.:
heart (D48.7)
D38.0 Larynx
Incl.:
Aryepiglottic fold, laryngeal aspect
Epiglottis (suprahyoid portion)
Excl.:
aryepiglottic fold:
D38.1 Trachea, bronchus and lung
D38.2 Pleura
D38.3 Mediastinum
D38.4 Thymus
D38.5 Other respiratory organs
Incl.:
Accessory sinuses
Cartilage of nose
Middle ear
Nasal cavities
Excl.:
ear (external)(skin) (D48.5)
nose:
D38.6 Respiratory organ, unspecified

D39 Neoplasm of uncertain or unknown behaviour of female genital organs

D39.0 Uterus
D39.1 Ovary
D39.2 Placenta
Incl.:
Chorioadenoma destruens
Hydatidiform mole:
  • invasive
  • malignant
Excl.:
hydatidiform mole NOS (O01.9)
D39.7 Other female genital organs
Incl.:
Skin of female genital organs
D39.9 Female genital organ, unspecified

D40 Neoplasm of uncertain or unknown behaviour of male genital organs

D40.0 Prostate
D40.1 Testis
D40.7 Other male genital organs
Incl.:
Skin of male genital organs
D40.9 Male genital organ, unspecified

D41 Neoplasm of uncertain or unknown behaviour of urinary organs

D41.0 Kidney
Excl.:
renal pelvis (D41.1)
D41.1 Renal pelvis
D41.2 Ureter
D41.3 Urethra
D41.4 Bladder
D41.7 Other urinary organs
D41.9 Urinary organ, unspecified

D42 Neoplasm of uncertain or unknown behaviour of meninges

D42.0 Cerebral meninges
D42.1 Spinal meninges
D42.9 Meninges, unspecified

D43 Neoplasm of uncertain or unknown behaviour of brain and central nervous system

Excl.:
peripheral nerves and autonomic nervous system (D48.2)
D43.0 Brain, supratentorial
Incl.:
Cerebral ventricle
Cerebrum
  • Frontal
  • Occipital
  • Parietal
  • Temporal
  • lobe
Excl.:
fourth ventricle (D43.1)
D43.1 Brain, infratentorial
Incl.:
Brain stem
Cerebellum
Fourth ventricle
D43.2 Brain, unspecified
D43.3 Cranial nerves
D43.4 Spinal cord
D43.7 Other parts of central nervous system
D43.9 Central nervous system, unspecified
Incl.:
Nervous system (central) NOS

D44 Neoplasm of uncertain or unknown behaviour of endocrine glands

Excl.:
endocrine pancreas (D37.7)
ovary (D39.1)
testis (D40.1)
thymus (D38.4)
D44.0 Thyroid gland
D44.1 Adrenal gland
D44.2 Parathyroid gland
D44.3 Pituitary gland
D44.4 Craniopharyngeal duct
D44.5 Pineal gland
D44.6 Carotid body
D44.7 Aortic body and other paraganglia
D44.8 Pluriglandular involvement
Incl.:
Multiple endocrine adenomatosis
D44.9 Endocrine gland, unspecified

D45 Polycythaemia vera

Note:
Polycythaemia vera has been reclassified in ICD-O Third Edition with a malignant code. The code D45 will continue to be used, although it is located in the chapter for Neoplasms of uncertain or unknown behaviour. The modification of its classification is reserved to the revision of ICD.

D46 Myelodysplastic syndromes

Incl.:
Alkylating-agent-related myelodysplastic syndrome
Epipodophyllotoxin-related myelodysplastic syndrome
Therapy-related myelodysplastic syndrome NOS
Excl.:
drug induced aplastic anaemia (D61.1)
D46.0 Refractory anaemia without ring sideroblasts, so stated
Note:
without sideroblasts, without excess of blasts
D46.1 Refractory anaemia with ring sideroblasts
D46.2 Refractory anaemia with excess of blasts [RAEB]
Note:
RAEB I
RAEB II
D46.4 Refractory anaemia, unspecified
D46.5 Refractory anaemia with multi-lineage dysplasia
D46.6 Myelodysplastic syndrome with isolated del(5q) chromosomal abnormality
Incl.:
5 q-minus syndrome
D46.7 Other myelodysplastic syndromes
Excl.:
chronic myelomonocytic leukaemia (C93.1)
D46.9 Myelodysplastic syndrome, unspecified
Incl.:
Myelodysplasia NOS
Preleukaemia (syndrome) NOS

D47 Other neoplasms of uncertain or unknown behaviour of lymphoid, haematopoietic and related tissue

D47.0 Histiocytic and mast cell tumours of uncertain and unknown behaviour
Incl.:
Indolent systemic mastocytosis
Mast cell tumour NOS
Mastocytoma NOS
Systemic mastocytosis, associated with clonal haematopoietic non-mast-cell disease (SM-AHNMD)
Excl.:
mastocytosis (congenital) (cutaneous) (Q82.2)
D47.1 Chronic myeloproliferative disease
Incl.:
Chronic neutrophilic leukaemia
Myeloproliferative disease, unspecified
Excl.:
atypical chronic myeloid leukaemia, BCR/ABL-negative (C92.2)
chronic myeloid leukaemia [CML] BCR/ABL-positive (C92.1)
D47.2 Monoclonal gammopathy of undetermined significance (MGUS)
D47.3 Essential (haemorrhagic) thrombocythaemia
Incl.:
Idiopathic haemorrhagic thrombocythaemia
D47.4 Osteomyelofibrosis
Incl.:
Chronic idiopathic myelofibrosis
Myelofibrosis (idiopathic) (with myeloid metaplasia)
Myelosclerosis (megakaryocytic) with myeloid metaplasia
Secondary myelofibrosis in myeloproliferative disease
Excl.:
acute myelofibrosis (C94.4)
D47.5 Chronic eosinophilic leukaemia [hypereosinophilic syndrome]
D47.7 Other specified neoplasms of uncertain or unknown behaviour of lymphoid, haematopoietic and related tissue
Incl.:
Histiocytic tumours of uncertain and unknown behaviour
D47.9 Neoplasm of uncertain or unknown behaviour of lymphoid, haematopoietic and related tissue, unspecified
Incl.:
Lymphoproliferative disease NOS

D48 Neoplasm of uncertain or unknown behaviour of other and unspecified sites

Excl.:
neurofibromatosis (nonmalignant) (Q85.0)
D48.0 Bone and articular cartilage
Excl.:
cartilage of:
connective tissue of eyelid (D48.1)
synovia (D48.1)
D48.1 Connective and other soft tissue
Incl.:
Connective tissue of:
  • ear
  • eyelid
Excl.:
cartilage (of):
connective tissue of breast (D48.6)
D48.2 Peripheral nerves and autonomic nervous system
Excl.:
peripheral nerves of orbit (D48.7)
D48.3 Retroperitoneum
D48.4 Peritoneum
D48.5 Skin
Incl.:
Anal:
  • margin
  • skin
Perianal skin
Skin of breast
Excl.:
anus NOS (D37.7)
skin of genital organs (D39.7, D40.7)
vermilion border of lip (D37.0)
D48.6 Breast
Incl.:
Connective tissue of breast
Cystosarcoma phyllodes
Excl.:
skin of breast (D48.5)
D48.7 Other specified sites
Incl.:
Eye
Heart
Peripheral nerves of orbit
Excl.:
connective tissue (D48.1)
skin of eyelid (D48.5)
D48.9 Neoplasm of uncertain or unknown behaviour, unspecified
Incl.:
"Growth" NOS
Neoplasm NOS
New growth NOS
Tumour NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter III
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
(D50-D89)

D50 Iron deficiency anaemia

Incl.:
anaemia:
  • asiderotic
  • hypochromic
D50.0 Iron deficiency anaemia secondary to blood loss (chronic)
Incl.:
Posthaemorrhagic anaemia (chronic)
Excl.:
acute posthaemorrhagic anaemia (D62)
congenital anaemia from fetal blood loss (P61.3)
D50.1 Sideropenic dysphagia
Incl.:
Kelly-Paterson syndrome
Plummer-Vinson syndrome
D50.8 Other iron deficiency anaemias
D50.9 Iron deficiency anaemia, unspecified

D51 Vitamin B12 deficiency anaemia

Excl.:
Vitamin B12 deficiency (E53.8)
D51.0 Vitamin B12 deficiency anaemia due to intrinsic factor deficiency
Incl.:
Anaemia:
  • Addison
  • Biermer
  • pernicious (congenital)
Congenital intrinsic factor deficiency
D51.1 Vitamin B12 deficiency anaemia due to selective vitamin B12 malabsorption with proteinuria
Incl.:
Imerslund(-Gräsbeck) syndrome
Megaloblastic hereditary anaemia
D51.2 Transcobalamin II deficiency
D51.3 Other dietary vitamin B12 deficiency anaemia
Incl.:
Vegan anaemia
D51.8 Other vitamin B12 deficiency anaemias
D51.9 Vitamin B12 deficiency anaemia, unspecified

D52 Folate deficiency anaemia

D52.0 Dietary folate deficiency anaemia
Incl.:
Nutritional megaloblastic anaemia
D52.1 Drug-induced folate deficiency anaemia
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
D52.8 Other folate deficiency anaemias
D52.9 Folate deficiency anaemia, unspecified
Incl.:
Folic acid deficiency anaemia NOS

D53 Other nutritional anaemias

Incl.:
megaloblastic anaemia unresponsive to vitamin B12 or folate therapy
D53.0 Protein deficiency anaemia
Incl.:
Amino-acid deficiency anaemia
Orotaciduric anaemia
Excl.:
Lesch-Nyhan syndrome (E79.1)
D53.1 Other megaloblastic anaemias, not elsewhere classified
Incl.:
Megaloblastic anaemia NOS
Excl.:
Di Guglielmo disease (C94.0)
D53.2 Scorbutic anaemia
Excl.:
scurvy (E54)
D53.8 Other specified nutritional anaemias
Incl.:
Anaemia associated with deficiency of:
  • copper
  • molybdenum
  • zinc
Excl.:
nutritional deficiencies without mention of anaemia, such as:
  • copper deficiency (E61.0)
  • molybdenum deficiency (E61.5)
  • zinc deficiency (E60)
D53.9 Nutritional anaemia, unspecified
Incl.:
Simple chronic anaemia
Excl.:
anaemia NOS (D64.9)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter III
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
(D50-D89)

D55 Anaemia due to enzyme disorders

Excl.:
drug-induced enzyme deficiency anaemia (D59.2)
D55.0 Anaemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency
Incl.:
Favism
G6PD deficiency anaemia
D55.1 Anaemia due to other disorders of glutathione metabolism
Incl.:
Anaemia (due to):
  • enzyme deficiencies, except G6PD, related to the hexose monophosphate [HMP] shunt pathway
  • haemolytic nonspherocytic (hereditary), type I
D55.2 Anaemia due to disorders of glycolytic enzymes
Incl.:
Anaemia:
  • haemolytic nonspherocytic (hereditary), type II
  • hexokinase deficiency
  • pyruvate kinase [PK] deficiency
  • triose-phosphate isomerase deficiency
D55.3 Anaemia due to disorders of nucleotide metabolism
D55.8 Other anaemias due to enzyme disorders
D55.9 Anaemia due to enzyme disorder, unspecified

D56 Thalassaemia

D56.0 Alpha thalassaemia
Excl.:
hydrops fetalis due to haemolytic disease (P56.-)
D56.1 Beta thalassaemia
Incl.:
Cooley anaemia
Severe beta thalassaemia
Thalassaemia:
  • intermedia
  • major
D56.2 Delta-beta thalassaemia
D56.3 Thalassaemia trait
D56.4 Hereditary persistence of fetal haemoglobin [HPFH]
D56.8 Other thalassaemias
D56.9 Thalassaemia, unspecified
Incl.:
Mediterranean anaemia (with other haemoglobinopathy)
Thalassaemia (minor)(mixed)(with other haemoglobinopathy)

D57 Sickle-cell disorders

Excl.:
other haemoglobinopathies (D58.-)
D57.0 Sickle-cell anaemia with crisis
Incl.:
Hb-SS disease with crisis
D57.1 Sickle-cell anaemia without crisis
Incl.:
  • Sickle-cell:
    • anaemia
    • disease
    • disorder
  • NOS
D57.2 Double heterozygous sickling disorders
Incl.:
Disease:
  • Hb-SC
  • Hb-SD
  • Hb-SE
  • sickle-cell thalassaemia
D57.3 Sickle-cell trait
Incl.:
Hb-S trait
Heterozygous haemoglobin S [HbAS]
D57.8 Other sickle-cell disorders

D58 Other hereditary haemolytic anaemias

D58.0 Hereditary spherocytosis
Incl.:
Acholuric (familial) jaundice
Congenital (spherocytic) haemolytic icterus
Minkowski-Chauffard syndrome
D58.1 Hereditary elliptocytosis
Incl.:
Elliptocytosis (congenital)
Ovalocytosis (congenital)(hereditary)
D58.2 Other haemoglobinopathies
Incl.:
Abnormal haemoglobin NOS
Congenital Heinz body anaemia
Disease:
  • Hb-C
  • Hb-D
  • Hb-E
Haemoglobinopathy NOS
Unstable haemoglobin haemolytic disease
Excl.:
familial polycythaemia (D75.0)
Hb-M disease (D74.0)
hereditary persistence of fetal haemoglobin [HPFH] (D56.4)
high-altitude polycythaemia (D75.1)
methaemoglobinaemia (D74.-)
D58.8 Other specified hereditary haemolytic anaemias
Incl.:
Stomatocytosis
D58.9 Hereditary haemolytic anaemia, unspecified

D59 Acquired haemolytic anaemia

D59.0 Drug-induced autoimmune haemolytic anaemia
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
D59.1 Other autoimmune haemolytic anaemias
Incl.:
Autoimmune haemolytic disease (cold type)(warm type)
Chronic cold haemagglutinin disease
Cold agglutinin:
  • disease
  • haemoglobinuria
Haemolytic anaemia:
  • cold type (secondary)(symptomatic)
  • warm type (secondary)(symptomatic)
Excl.:
Evans syndrome (D69.3)
haemolytic disease of fetus and newborn (P55.-)
paroxysmal cold haemoglobinuria (D59.6)
D59.2 Drug-induced nonautoimmune haemolytic anaemia
Incl.:
Drug-induced enzyme deficiency anaemia
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
D59.3 Haemolytic-uraemic syndrome
D59.4 Other nonautoimmune haemolytic anaemias
Incl.:
Haemolytic anaemia:
  • mechanical
  • microangiopathic
  • toxic
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
D59.5 Paroxysmal nocturnal haemoglobinuria [Marchiafava-Micheli]
Excl.:
haemoglobinuria NOS (R82.3)
D59.6 Haemoglobinuria due to haemolysis from other external causes
Incl.:
Haemoglobinuria:
  • from exertion
  • march
  • paroxysmal cold
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
Excl.:
haemoglobinuria NOS (R82.3)
D59.8 Other acquired haemolytic anaemias
D59.9 Acquired haemolytic anaemia, unspecified
Incl.:
Idiopathic haemolytic anaemia, chronic

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter III
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
(D50-D89)

D60 Acquired pure red cell aplasia [erythroblastopenia]

Incl.:
red cell aplasia (acquired)(adult)(with thymoma)
D60.0 Chronic acquired pure red cell aplasia
D60.1 Transient acquired pure red cell aplasia
D60.8 Other acquired pure red cell aplasias
D60.9 Acquired pure red cell aplasia, unspecified

D61 Other aplastic anaemias

Excl.:
agranulocytosis (D70)
D61.0 Constitutional aplastic anaemia
Incl.:
Aplasia, (pure) red cell (of):
  • congenital
  • infants
  • primary
Blackfan-Diamond syndrome
Familial hypoplastic anaemia
Fanconi anaemia
Pancytopenia with malformations
D61.1 Drug-induced aplastic anaemia
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
D61.2 Aplastic anaemia due to other external agents
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
D61.3 Idiopathic aplastic anaemia
D61.8 Other specified aplastic anaemias
D61.9 Aplastic anaemia, unspecified
Incl.:
Hypoplastic anaemia NOS
Medullary hypoplasia
Panmyelophthisis

D62 Acute posthaemorrhagic anaemia

Excl.:
congenital anaemia from fetal blood loss (P61.3)

D63* Anaemia in chronic diseases classified elsewhere

D63.0* Anaemia in neoplastic disease (C00-D48†)
D63.8* Anaemia in other chronic diseases classified elsewhere
Incl.:
Anaemia in chronic kidney disease ≥ stage 3 (N18.3 – N18.9†)

D64 Other anaemias

Excl.:
refractory anaemia:
  • NOS (D46.4)
  • with excess of blasts (D46.2)
  • with excess of blasts
    • with transformation (C92.0)
  • with sideroblasts (D46.1)
  • without sideroblasts (D46.0)
D64.0 Hereditary sideroblastic anaemia
Incl.:
Sex-linked hypochromic sideroblastic anaemia
D64.1 Secondary sideroblastic anaemia due to disease
Coding-Hint
Use additional code, if desired, to identify disease.
D64.2 Secondary sideroblastic anaemia due to drugs and toxins
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
D64.3 Other sideroblastic anaemias
Incl.:
Sideroblastic anaemia:
  • NOS
  • pyridoxine-responsive NEC
D64.4 Congenital dyserythropoietic anaemia
Incl.:
Dyshaematopoietic anaemia (congenital)
Excl.:
Blackfan-Diamond syndrome (D61.0)
Di Guglielmo disease (C94.0)
D64.8 Other specified anaemias
Incl.:
Infantile pseudoleukaemia
Leukoerythroblastic anaemia
D64.9 Anaemia, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter III
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
(D50-D89)

D65 Disseminated intravascular coagulation [defibrination syndrome]

Incl.:
Afibrinogenaemia, acquired
Consumption coagulopathy
Diffuse or disseminated intravascular coagulation [DIC]
Fibrinolytic haemorrhage, acquired
Purpura:
  • fibrinolytic
  • fulminans
Excl.:
that (complicating):

D66 Hereditary factor VIII deficiency

Incl.:
Deficiency factor VIII (with functional defect)
Haemophilia:
  • NOS
  • A
  • classical
Excl.:
factor VIII deficiency with vascular defect (D68.0)

D67 Hereditary factor IX deficiency

Incl.:
Christmas disease
Deficiency:
  • factor IX (with functional defect)
  • plasma thromboplastin component [PTC]
Haemophilia B

D68 Other coagulation defects

Excl.:
those complicating:
D68.0 Von Willebrand disease
Incl.:
Angiohaemophilia
Factor VIII deficiency with vascular defect
Vascular haemophilia
Excl.:
capillary fragility (hereditary) (D69.8)
factor VIII deficiency:
  • NOS (D66)
  • with functional defect (D66)
D68.1 Hereditary factor XI deficiency
Incl.:
Haemophilia C
Plasma thromboplastin antecedent [PTA] deficiency
D68.2 Hereditary deficiency of other clotting factors
Incl.:
Congenital afibrinogenaemia
Deficiency:
  • AC globulin
  • proaccelerin
Deficiency of factor:
  • I [fibrinogen]
  • II [prothrombin]
  • V [labile]
  • VII [stable]
  • X [Stuart-Prower]
  • XII [Hageman]
  • XIII [fibrin-stabilizing]
Dysfibrinogenaemia (congenital)
Hypoproconvertinaemia
Owren disease
D68.3 Haemorrhagic disorder due to circulating anticoagulants
Incl.:
Haemorrhage during long-term use of anticoagulants
Hyperheparinaemia
Increase in:
  • antithrombin
  • anti-VIIIa
  • anti-IXa
  • anti-Xa
  • anti-XIa
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify any administered anticoagulant.
Excl.:
long-term use of anticoagulants without haemorrhage (Z92.1)
D68.4 Acquired coagulation factor deficiency
Incl.:
Deficiency of coagulation factor due to:
  • liver disease
  • vitamin K deficiency
Excl.:
vitamin K deficiency of newborn (P53)
D68.5 Primary thrombophilia
Incl.:
Activated protein C resistance [factor V Leiden mutation]
Deficiency:
  • antithrombin
  • protein C
  • protein S
Prothrombin gene mutation
D68.6 Other thrombophilia
Incl.:
Anticardiolipin syndrome
Antiphospholipid syndrome
Presence of the lupus anticoagulant
Excl.:
disseminated intravascular coagulation (D65)
hyperhomocysteinemia (E72.1)
D68.8 Other specified coagulation defects
D68.9 Coagulation defect, unspecified

D69 Purpura and other haemorrhagic conditions

Excl.:
benign hypergammaglobulinaemic purpura (D89.0)
cryoglobulinaemic purpura (D89.1)
essential (haemorrhagic) thrombocythaemia (D47.3)
purpura fulminans (D65)
thrombotic thrombocytopenic purpura (M31.1)
D69.0 Allergic purpura
Incl.:
Purpura:
  • anaphylactoid
  • Henoch(-Schönlein)
  • nonthrombocytopenic:
    • haemorrhagic
    • idiopathic
  • vascular
Vasculitis, allergic
D69.1 Qualitative platelet defects
Incl.:
Bernard-Soulier [giant platelet] syndrome
Glanzmann disease
Grey platelet syndrome
Thromboasthenia (haemorrhagic)(hereditary)
Thrombocytopathy
Excl.:
von Willebrand disease (D68.0)
D69.2 Other nonthrombocytopenic purpura
Incl.:
Purpura:
  • NOS
  • senile
  • simplex
D69.3 Idiopathic thrombocytopenic purpura
Incl.:
Evans syndrome
D69.4 Other primary thrombocytopenia
Excl.:
thrombocytopenia with absent radius (Q87.2)
transient neonatal thrombocytopenia (P61.0)
Wiskott-Aldrich syndrome (D82.0)
D69.5 Secondary thrombocytopenia
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
D69.6 Thrombocytopenia, unspecified
D69.8 Other specified haemorrhagic conditions
Incl.:
Capillary fragility (hereditary)
Vascular pseudohaemophilia
D69.9 Haemorrhagic condition, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter III
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
(D50-D89)

D70 Agranulocytosis

Incl.:
Agranulocytic angina
Infantile genetic agranulocytosis
Kostmann disease
Neutropenia:
  • NOS
  • congenital
  • cyclic
  • drug-induced
  • periodic
  • splenic (primary)
  • toxic
Neutropenic splenomegaly
Werner-Schultz disease
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
Excl.:
transient neonatal neutropenia (P61.5)

D71 Functional disorders of polymorphonuclear neutrophils

Incl.:
Cell membrane receptor complex [CR3] defect
Chronic (childhood) granulomatous disease
Congenital dysphagocytosis
Progressive septic granulomatosis

D72 Other disorders of white blood cells

Excl.:
basophilia (D75.8)
immunity disorders (D80-D89)
neutropenia (D70)
abnormal white blood cells (count) (R72)
preleukaemia (syndrome) (D46.9)
D72.0 Genetic anomalies of leukocytes
Incl.:
Anomaly (granulation)(granulocyte) or syndrome:
  • Alder
  • May-Hegglin
  • Pelger-Huët
Hereditary:
  • leukocytic:
    • hypersegmentation
    • hyposegmentation
  • leukomelanopathy
Excl.:
Chediak(-Steinbrinck)-Higashi syndrome (E70.3)
D72.1 Eosinophilia
Incl.:
Eosinophilia:
  • allergic
  • hereditary
D72.8 Other specified disorders of white blood cells
Incl.:
Leukaemoid reaction:
  • lymphocytic
  • monocytic
  • myelocytic
Leukocytosis
Lymphocytosis (symptomatic)
Lymphopenia
Monocytosis (symptomatic)
Plasmacytosis
D72.9 Disorder of white blood cells, unspecified

D73 Diseases of spleen

D73.0 Hyposplenism
Incl.:
Asplenia, postsurgical
Atrophy of spleen
Excl.:
asplenia (congenital) (Q89.0)
D73.1 Hypersplenism
Excl.:
splenomegaly:
D73.2 Chronic congestive splenomegaly
D73.3 Abscess of spleen
D73.4 Cyst of spleen
D73.5 Infarction of spleen
Incl.:
Splenic rupture, nontraumatic
Torsion of spleen
Excl.:
traumatic rupture of spleen (S36.0)
D73.8 Other diseases of spleen
Incl.:
Fibrosis of spleen NOS
Perisplenitis
Splenitis NOS
D73.9 Disease of spleen, unspecified

D74 Methaemoglobinaemia

D74.0 Congenital methaemoglobinaemia
Incl.:
Congenital NADH-methaemoglobin reductase deficiency
Haemoglobin-M [Hb-M] disease
Methaemoglobinaemia, hereditary
D74.8 Other methaemoglobinaemias
Incl.:
Acquired methaemoglobinaemia (with sulfhaemoglobinaemia)
Toxic methaemoglobinaemia
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
D74.9 Methaemoglobinaemia, unspecified

D75 Other diseases of blood and blood-forming organs

Excl.:
enlarged lymph nodes (R59.-)
hypergammaglobulinaemia NOS (D89.2)
lymphadenitis:
D75.0 Familial erythrocytosis
Incl.:
Polycythaemia:
  • benign
  • familial
Excl.:
hereditary ovalocytosis (D58.1)
D75.1 Secondary polycythaemia
Incl.:
Erythrocytosis NOS
Polycythaemia:
  • NOS
  • acquired
  • due to:
    • erythropoietin
    • fall in plasma volume
    • high altitude
    • stress
  • emotional
  • hypoxaemic
  • nephrogenous
  • relative
Excl.:
polycythaemia:
D75.8 Other specified diseases of blood and blood-forming organs
Incl.:
Basophilia
D75.9 Disease of blood and blood-forming organs, unspecified

D76 Other specified diseases with participation of lymphoreticular and reticulohistiocytic tissue

Excl.:
(Abt-)Letterer-Siwe disease (C96.0)
eosinophilic granuloma (C96.6)
Hand-Schüller-Christian disease (C96.5)
histiocytic sarcoma (C96.8)
histiocytosis X, multifocal (C96.5)
histiocytosis X, unifocal (C96.6)
Langerhans-cell histiocytosis, multifocal (C96.5)
Langerhans-cell histiocytosis, unifocal (C96.6)
malignant histiocytosis (C96.8)
reticuloendotheliosis:
reticulosis:
  • histiocytic medullary (C96.8)
  • lipomelanotic (I89.8)
  • malignant NOS (C86.0)
D76.1 Haemophagocytic lymphohistiocytosis
Incl.:
Familial haemophagocytic reticulosis
Histiocytoses of mononuclear phagocytes
D76.2 Haemophagocytic syndrome, infection-associated
Coding-Hint
Use additional code, if desired, to identify infectious agent or disease.
D76.3 Other histiocytosis syndromes
Incl.:
Reticulohistiocytoma (giant-cell)
Sinus histiocytosis with massive lymphadenopathy
Xanthogranuloma

D77* Other disorders of blood and blood-forming organs in diseases classified elsewhere

Incl.:
Fibrosis of spleen in schistosomiasis [bilharziasis] (B65.-†)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter III
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
(D50-D89)

Certain disorders involving the immune mechanism
(D80-D89)

Incl.:
defects in the complement system
immunodeficiency disorders, except human immunodeficiency virus [HIV] disease
sarcoidosis
Excl.:
autoimmune disease (systemic) NOS (M35.9)
functional disorders of polymorphonuclear neutrophils (D71)
human immunodeficiency virus [HIV] disease (B20-B24)
human immunodeficiency virus [HIV] disease complicating pregnancy childbirth and the puerperium (O98.7)

D80 Immunodeficiency with predominantly antibody defects

D80.0 Hereditary hypogammaglobulinaemia
Incl.:
Autosomal recessive agammaglobulinaemia (Swiss type)
X-linked agammaglobulinaemia [Bruton] (with growth hormone deficiency)
D80.1 Nonfamilial hypogammaglobulinaemia
Incl.:
Agammaglobulinaemia with immunoglobulin-bearing B-lymphocytes
Common variable agammaglobulinaemia [CVAgamma]
Hypogammaglobulinaemia NOS
D80.2 Selective deficiency of immunoglobulin A [IgA]
D80.3 Selective deficiency of immunoglobulin G [IgG] subclasses
D80.4 Selective deficiency of immunoglobulin M [IgM]
D80.5 Immunodeficiency with increased immunoglobulin M [IgM]
D80.6 Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinaemia
D80.7 Transient hypogammaglobulinaemia of infancy
D80.8 Other immunodeficiencies with predominantly antibody defects
Incl.:
Kappa light chain deficiency
D80.9 Immunodeficiency with predominantly antibody defects, unspecified

D81 Combined immunodeficiencies

Excl.:
autosomal recessive agammaglobulinaemia (Swiss type) (D80.0)
D81.0 Severe combined immunodeficiency [SCID] with reticular dysgenesis
D81.1 Severe combined immunodeficiency [SCID] with low T- and B-cell numbers
D81.2 Severe combined immunodeficiency [SCID] with low or normal B-cell numbers
D81.3 Adenosine deaminase [ADA] deficiency
D81.4 Nezelof syndrome
D81.5 Purine nucleoside phosphorylase [PNP] deficiency
D81.6 Major histocompatibility complex class I deficiency
Incl.:
Bare lymphocyte syndrome
D81.7 Major histocompatibility complex class II deficiency
D81.8 Other combined immunodeficiencies
Incl.:
Biotin-dependent carboxylase deficiency
D81.9 Combined immunodeficiency, unspecified
Incl.:
Severe combined immunodeficiency disorder [SCID] NOS

D82 Immunodeficiency associated with other major defects

Excl.:
ataxia telangiectasia [Louis-Bar] (G11.3)
D82.0 Wiskott-Aldrich syndrome
Incl.:
Immunodeficiency with thrombocytopenia and eczema
D82.1 Di George syndrome
Incl.:
Pharyngeal pouch syndrome
Thymic:
  • alymphoplasia
  • aplasia or hypoplasia with immunodeficiency
D82.2 Immunodeficiency with short-limbed stature
D82.3 Immunodeficiency following hereditary defective response to Epstein-Barr virus
Incl.:
X-linked lymphoproliferative disease
D82.4 Hyperimmunoglobulin E [IgE] syndrome
D82.8 Immunodeficiency associated with other specified major defects
D82.9 Immunodeficiency associated with major defect, unspecified

D83 Common variable immunodeficiency

D83.0 Common variable immunodeficiency with predominant abnormalities of B-cell numbers and function
D83.1 Common variable immunodeficiency with predominant immunoregulatory T-cell disorders
D83.2 Common variable immunodeficiency with autoantibodies to B- or T-cells
D83.8 Other common variable immunodeficiencies
D83.9 Common variable immunodeficiency, unspecified

D84 Other immunodeficiencies

D84.0 Lymphocyte function antigen-1 [LFA-1] defect
D84.1 Defects in the complement system
Incl.:
C1 esterase inhibitor [C1-INH] deficiency
D84.8 Other specified immunodeficiencies
D84.9 Immunodeficiency, unspecified

D86 Sarcoidosis

D86.0 Sarcoidosis of lung
D86.1 Sarcoidosis of lymph nodes
D86.2 Sarcoidosis of lung with sarcoidosis of lymph nodes
D86.3 Sarcoidosis of skin
D86.8 Sarcoidosis of other and combined sites
Incl.:
Iridocyclitis in sarcoidosis† (H22.1*)
Multiple cranial nerve palsies in sarcoidosis† (G53.2*)
Sarcoid:
Uveoparotid fever [Heerfordt]
D86.9 Sarcoidosis, unspecified

D89 Other disorders involving the immune mechanism, not elsewhere classified

Excl.:
hyperglobulinaemia NOS (R77.1)
monoclonal gammopathy of undertermined significance [MGUS] (D47.2)
transplant failure and rejection (T86.-)
D89.0 Polyclonal hypergammaglobulinaemia
Incl.:
Benign hypergammaglobulinaemic purpura
Polyclonal gammopathy NOS
D89.1 Cryoglobulinaemia
Incl.:
Cryoglobulinaemia:
  • essential
  • idiopathic
  • mixed
  • primary
  • secondary
Cryoglobulinaemic:
  • purpura
  • vasculitis
D89.2 Hypergammaglobulinaemia, unspecified
D89.3 Immune reconstitution syndrome
Incl.:
Immune reconstitution inflammatory syndrome [IRIS]
Use additional external cause code (Chapter XX), if desired, to identify drug.
D89.8 Other specified disorders involving the immune mechanism, not elsewhere classified
D89.9 Disorder involving the immune mechanism, unspecified
Incl.:
Immune disease NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IV
Endocrine, nutritional and metabolic diseases
(E00-E90)

E00 Congenital iodine-deficiency syndrome

Incl.:
endemic conditions associated with environmental iodine deficiency either directly or as a consequence of maternal iodine deficiency. Some of the conditions have no current hypothyroidism but are the consequence of inadequate thyroid hormone secretion in the developing fetus. Environmental goitrogens may be associated.
Coding-Hint
Use additional code (F70-F79), if desired, to identify associated mental retardation.
Excl.:
subclinical iodine-deficiency hypothyroidism (E02)
E00.0 Congenital iodine-deficiency syndrome, neurological type
Incl.:
Endemic cretinism, neurological type
E00.1 Congenital iodine-deficiency syndrome, myxoedematous type
Incl.:
Endemic cretinism:
  • hypothyroid
  • myxoedematous type
E00.2 Congenital iodine-deficiency syndrome, mixed type
Incl.:
Endemic cretinism, mixed type
E00.9 Congenital iodine-deficiency syndrome, unspecified
Incl.:
Congenital iodine-deficiency hypothyroidism NOS
Endemic cretinism NOS

E01 Iodine-deficiency-related thyroid disorders and allied conditions

Excl.:
congenital iodine-deficiency syndrome (E00.-)
subclinical iodine-deficiency hypothyroidism (E02)
E01.0 Iodine-deficiency-related diffuse (endemic) goitre
E01.1 Iodine-deficiency-related multinodular (endemic) goitre
Incl.:
Iodine-deficiency-related nodular goitre
E01.2 Iodine-deficiency-related (endemic) goitre, unspecified
Incl.:
Endemic goitre NOS
E01.8 Other iodine-deficiency-related thyroid disorders and allied conditions
Incl.:
Acquired iodine-deficiency hypothyroidism NOS

E02 Subclinical iodine-deficiency hypothyroidism

E03 Other hypothyroidism

Excl.:
iodine-deficiency-related hypothyroidism (E00-E02)
postprocedural hypothyroidism (E89.0)
E03.0 Congenital hypothyroidism with diffuse goitre
Incl.:
Goitre (nontoxic) congenital:
  • NOS
  • parenchymatous
Excl.:
transitory congenital goitre with normal function (P72.0)
E03.1 Congenital hypothyroidism without goitre
Incl.:
Aplasia of thyroid (with myxoedema)
Congenital:
  • atrophy of thyroid
  • hypothyroidism NOS
E03.2 Hypothyroidism due to medicaments and other exogenous substances
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
E03.3 Postinfectious hypothyroidism
E03.4 Atrophy of thyroid (acquired)
Excl.:
congenital atrophy of thyroid (E03.1)
E03.5 Myxoedema coma
E03.8 Other specified hypothyroidism
E03.9 Hypothyroidism, unspecified
Incl.:
Myxoedema NOS

E04 Other nontoxic goitre

Excl.:
congenital goitre:
iodine-deficiency-related goitre (E00-E02)
E04.0 Nontoxic diffuse goitre
Incl.:
Goitre, nontoxic:
  • diffuse (colloid)
  • simple
E04.1 Nontoxic single thyroid nodule
Incl.:
Colloid nodule (cystic)(thyroid)
Nontoxic uninodular goitre
Thyroid (cystic) nodule NOS
E04.2 Nontoxic multinodular goitre
Incl.:
Cystic goitre NOS
Multinodular (cystic) goitre NOS
E04.8 Other specified nontoxic goitre
E04.9 Nontoxic goitre, unspecified
Incl.:
Goitre NOS
Nodular goitre (nontoxic) NOS

E05 Thyrotoxicosis [hyperthyroidism]

Excl.:
chronic thyroiditis with transient thyrotoxicosis (E06.2)
neonatal thyrotoxicosis (P72.1)
E05.0 Thyrotoxicosis with diffuse goitre
Incl.:
Exophthalmic or toxic goitre NOS
Graves disease
Toxic diffuse goitre
E05.1 Thyrotoxicosis with toxic single thyroid nodule
Incl.:
Thyrotoxicosis with toxic uninodular goitre
E05.2 Thyrotoxicosis with toxic multinodular goitre
Incl.:
Toxic nodular goitre NOS
E05.3 Thyrotoxicosis from ectopic thyroid tissue
E05.4 Thyrotoxicosis factitia
E05.5 Thyroid crisis or storm
E05.8 Other thyrotoxicosis
Incl.:
Overproduction of thyroid-stimulating hormone
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
E05.9 Thyrotoxicosis, unspecified
Incl.:
Hyperthyroidism NOS
Thyrotoxic heart disease† (I43.8*)

E06 Thyroiditis

Excl.:
postpartum thyroiditis (O90.5)
E06.0 Acute thyroiditis
Incl.:
Abscess of thyroid
Thyroiditis:
  • pyogenic
  • suppurative
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
E06.1 Subacute thyroiditis
Incl.:
Thyroiditis:
  • de Quervain
  • giant-cell
  • granulomatous
  • nonsuppurative
Excl.:
autoimmune thyroiditis (E06.3)
E06.2 Chronic thyroiditis with transient thyrotoxicosis
Excl.:
autoimmune thyroiditis (E06.3)
E06.3 Autoimmune thyroiditis
Incl.:
Hashimoto thyroiditis
Hashitoxicosis (transient)
Lymphadenoid goitre
Lymphocytic thyroiditis
Struma lymphomatosa
E06.4 Drug-induced thyroiditis
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
E06.5 Other chronic thyroiditis
Incl.:
Thyroiditis:
  • chronic:
    • NOS
    • fibrous
  • ligneous
  • Riedel
E06.9 Thyroiditis, unspecified

E07 Other disorders of thyroid

E07.0 Hypersecretion of calcitonin
Incl.:
C-cell hyperplasia of thyroid
Hypersecretion of thyrocalcitonin
E07.1 Dyshormogenetic goitre
Incl.:
Familial dyshormogenetic goitre
Pendred syndrome
Excl.:
transitory congenital goitre with normal function (P72.0)
E07.8 Other specified disorders of thyroid
Incl.:
Abnormality of thyroid-binding globulin
  • Haemorrhage
  • Infarction
  • of thyroid
Sick-euthyroid syndrome
E07.9 Disorder of thyroid, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IV
Endocrine, nutritional and metabolic diseases
(E00-E90)

Diabetes mellitus
(E10-E14)

Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
Modifiers

The following fourth-character subdivisions are for use with categories E10-E14:

Code Title
.0
With coma
Incl.:
Diabetic:
  • coma with or without ketoacidosis
  • hyperosmolar coma
  • hypoglycaemic coma
Hyperglycaemic coma NOS
.1
With ketoacidosis
Incl.:
  • Diabetic:
    • acidosis
    • ketoacidosis
  • without mention of coma
.2†
With renal complications
Incl.:
Diabetic nephropathy (N08.3*)
Intracapillary glomerulonephrosis (N08.3*)
Kimmelstiel-Wilson syndrome (N08.3*)
.3†
With ophthalmic complications
Incl.:
Diabetic:
.4†
With neurological complications
Incl.:
Diabetic:
.5
With peripheral circulatory complications
Incl.:
Diabetic:
  • gangrene
  • peripheral angiopathy† (I79.2*)
  • ulcer
.6
With other specified complications
Incl.:
Diabetic arthropathy† (M14.2*)
Neuropathic diabetic arthropathy† (M14.6*)
.7
With multiple complications
.8
With unspecified complications
.9
Without complications

E10 Type 1 diabetes mellitus

Incl.:
diabetes (mellitus):
  • brittle
  • juvenile-onset
  • ketosis-prone
Excl.:
diabetes mellitus (in):
  • malnutrition-related (E12.-)
  • neonatal (P70.2)
  • pregnancy, childbirth and the puerperium (O24.-)
glycosuria:
impaired glucose tolerance (R73.0)
postsurgical hypoinsulinaemia (E89.1)

E11 Type 2 diabetes mellitus

Incl.:
diabetes (mellitus)(nonobese)(obese):
  • adult-onset
  • maturity-onset
  • nonketotic
  • stable
non-insulin-dependent diabetes of the young
Excl.:
diabetes mellitus (in):
  • malnutrition-related (E12.-)
  • neonatal (P70.2)
  • pregnancy, childbirth and the puerperium (O24.-)
glycosuria:
impaired glucose tolerance (R73.0)
postsurgical hypoinsulinaemia (E89.1)

E12 Malnutrition-related diabetes mellitus

Incl.:
malnutrition-related diabetes mellitus:
  • type 1
  • type 2
Excl.:
diabetes mellitus in pregnancy, childbirth and the puerperium (O24.-)
glycosuria:
impaired glucose tolerance (R73.0)
neonatal diabetes mellitus (P70.2)
postsurgical hypoinsulinaemia (E89.1)

E13 Other specified diabetes mellitus

Excl.:
diabetes mellitus (in):
  • malnutrition-related (E12.-)
  • neonatal (P70.2)
  • pregnancy, childbirth and the puerperium (O24.-)
  • type 1 (E10.-)
  • type 2 (E11.-)
glycosuria:
impaired glucose tolerance (R73.0)
postsurgical hypoinsulinaemia (E89.1)

E14 Unspecified diabetes mellitus

Incl.:
diabetes NOS
Excl.:
diabetes mellitus (in):
  • malnutrition-related (E12.-)
  • neonatal (P70.2)
  • pregnancy, childbirth and the puerperium (O24.-)
  • Type 1 (E10.-)
  • Type 2 (E11.-)
glycosuria:
impaired glucose tolerance (R73.0)
postsurgical hypoinsulinaemia (E89.1)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IV
Endocrine, nutritional and metabolic diseases
(E00-E90)

E15 Nondiabetic hypoglycaemic coma

Incl.:
Drug-induced insulin coma in nondiabetic
Hyperinsulinism with hypoglycaemic coma
Hypoglycaemic coma NOS
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

E16 Other disorders of pancreatic internal secretion

E16.0 Drug-induced hypoglycaemia without coma
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
E16.1 Other hypoglycaemia
Incl.:
Functional nonhyperinsulinaemic hypoglycaemia
Hyperinsulinism:
  • NOS
  • functional
Hyperplasia of pancreatic islet beta cells NOS
Posthypoglycaemic coma encephalopathy
E16.2 Hypoglycaemia, unspecified
E16.3 Increased secretion of glucagon
Incl.:
Hyperplasia of pancreatic endocrine cells with glucagon excess
E16.4 Abnormal secretion of gastrin
Incl.:
Hypergastrinaemia
Zollinger-Ellison syndrome
E16.8 Other specified disorders of pancreatic internal secretion
Incl.:
Increased secretion from endocrine pancreas of:
  • growth hormone-releasing hormone
  • pancreatic polypeptide
  • somatostatin
  • vasoactive-intestinal polypeptide
E16.9 Disorder of pancreatic internal secretion, unspecified
Incl.:
Islet-cell hyperplasia NOS
Pancreatic endocrine cell hyperplasia NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IV
Endocrine, nutritional and metabolic diseases
(E00-E90)

Disorders of other endocrine glands
(E20-E35)

Excl.:
galactorrhoea (N64.3)
gynaecomastia (N62)

E20 Hypoparathyroidism

Excl.:
Di George syndrome (D82.1)
postprocedural hypoparathyroidism (E89.2)
tetany NOS (R29.0)
transitory neonatal hypoparathyroidism (P71.4)
E20.0 Idiopathic hypoparathyroidism
E20.1 Pseudohypoparathyroidism
E20.8 Other hypoparathyroidism
E20.9 Hypoparathyroidism, unspecified
Incl.:
Parathyroid tetany

E21 Hyperparathyroidism and other disorders of parathyroid gland

Excl.:
osteomalacia:
E21.0 Primary hyperparathyroidism
Incl.:
Hyperplasia of parathyroid
Osteitis fibrosa cystica generalisata [von Recklinghausen disease of bone]
E21.1 Secondary hyperparathyroidism, not elsewhere classified
Excl.:
secondary hyperparathyroidism of renal origin (N25.8)
E21.2 Other hyperparathyroidism
Incl.:
Tertiary hyperparathryoidism
Excl.:
familial hypocalciuric hypercalcaemia (E83.5)
E21.3 Hyperparathyroidism, unspecified
E21.4 Other specified disorders of parathyroid gland
E21.5 Disorder of parathyroid gland, unspecified

E22 Hyperfunction of pituitary gland

Excl.:
Cushing syndrome (E24.-)
Nelson syndrome (E24.1)
overproduction of:
  • ACTH not associated with Cushing disease (E27.0)
  • pituitary ACTH (E24.0)
  • thyroid-stimulating hormone (E05.8)
E22.0 Acromegaly and pituitary gigantism
Incl.:
Arthropathy associated with acromegaly† (M14.5*)
Overproduction of growth hormone
Excl.:
constitutional:
increased secretion from endocrine pancreas of growth hormone-releasing hormone (E16.8)
E22.1 Hyperprolactinaemia
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
E22.2 Syndrome of inappropriate secretion of antidiuretic hormone
E22.8 Other hyperfunction of pituitary gland
Incl.:
Central precocious puberty
E22.9 Hyperfunction of pituitary gland, unspecified

E23 Hypofunction and other disorders of pituitary gland

Incl.:
the listed conditions whether the disorder is in the pituitary or the hypothalamus
Excl.:
postprocedural hypopituitarism (E89.3)
E23.0 Hypopituitarism
Incl.:
Fertile eunuch syndrome
Hypogonadotropic hypogonadism
Idiopathic growth hormone deficiency
Isolated deficiency of:
  • gonadotropin
  • growth hormone
  • pituitary hormone
Kallmann syndrome
Lorain-Levi short stature
Necrosis of pituitary gland (postpartum)
Panhypopituitarism
Pituitary:
  • cachexia
  • insufficiency NOS
  • short stature
Sheehan syndrome
Simmonds disease
E23.1 Drug-induced hypopituitarism
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
E23.2 Diabetes insipidus
Excl.:
nephrogenic diabetes insipidus (N25.1)
E23.3 Hypothalamic dysfunction, not elsewhere classified
Excl.:
Prader-Willi syndrome (Q87.1)
Russell-Silver syndrome (Q87.1)
E23.6 Other disorders of pituitary gland
Incl.:
Abscess of pituitary
Adiposogenital dystrophy
E23.7 Disorder of pituitary gland, unspecified

E24 Cushing syndrome

E24.0 Pituitary-dependent Cushing disease
Incl.:
Overproduction of pituitary ACTH
Pituitary-dependent hyperadrenocorticism
E24.1 Nelson syndrome
E24.2 Drug-induced Cushing syndrome
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
E24.3 Ectopic ACTH syndrome
E24.4 Alcohol-induced pseudo-Cushing syndrome
E24.8 Other Cushing syndrome
E24.9 Cushing syndrome, unspecified

E25 Adrenogenital disorders

Incl.:
adrenogenital syndromes, virilizing or feminizing, whether acquired or due to adrenal hyperplasia consequent on inborn enzyme defects in hormone synthesis
female:
  • adrenal pseudohermaphroditism
  • heterosexual precocious pseudopuberty
male:
  • isosexual precocious pseudopuberty
  • macrogenitosomia praecox
  • sexual precocity with adrenal hyperplasia
virilization (female)
E25.0 Congenital adrenogenital disorders associated with enzyme deficiency
Incl.:
Congenital adrenal hyperplasia
21-Hydroxylase deficiency
Salt-losing congenital adrenal hyperplasia
E25.8 Other adrenogenital disorders
Incl.:
Idiopathic adrenogenital disorder
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
E25.9 Adrenogenital disorder, unspecified
Incl.:
Adrenogenital syndrome NOS

E26 Hyperaldosteronism

E26.0 Primary hyperaldosteronism
Incl.:
Conn syndrome
Primary aldosteronism due to adrenal hyperplasia (bilateral)
E26.1 Secondary hyperaldosteronism
E26.8 Other hyperaldosteronism
Incl.:
Bartter syndrome
E26.9 Hyperaldosteronism, unspecified

E27 Other disorders of adrenal gland

E27.0 Other adrenocortical overactivity
Incl.:
Overproduction of ACTH, not associated with Cushing disease
Premature adrenarche
Excl.:
Cushing syndrome (E24.-)
E27.1 Primary adrenocortical insufficiency
Incl.:
Addison disease
Autoimmune adrenalitis
Excl.:
amyloidosis (E85.-)
tuberculous Addison disease (A18.7)
Waterhouse-Friderichsen syndrome (A39.1)
E27.2 Addisonian crisis
Incl.:
Adrenal crisis
Adrenocortical crisis
E27.3 Drug-induced adrenocortical insufficiency
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
E27.4 Other and unspecified adrenocortical insufficiency
Incl.:
Adrenal:
  • haemorrhage
  • infarction
Adrenocortical insufficiency NOS
Hypoaldosteronism
Excl.:
adrenoleukodystrophy [Addison-Schilder] (E71.3)
Waterhouse-Friderichsen syndrome (A39.1)
E27.5 Adrenomedullary hyperfunction
Incl.:
Adrenomedullary hyperplasia
Catecholamine hypersecretion
E27.8 Other specified disorders of adrenal gland
Incl.:
Abnormality of cortisol-binding globulin
E27.9 Disorder of adrenal gland, unspecified

E28 Ovarian dysfunction

Excl.:
isolated gonadotropin deficiency (E23.0)
postprocedural ovarian failure (E89.4)
E28.0 Estrogen excess
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
E28.1 Androgen excess
Incl.:
Hypersecretion of ovarian androgens
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
E28.2 Polycystic ovarian syndrome
Incl.:
Sclerocystic ovary syndrome
Stein-Leventhal syndrome
E28.3 Primary ovarian failure
Incl.:
Decreased estrogen
Premature menopause NOS
Resistant ovary syndrome
Excl.:
menopausal and female climacteric states (N95.1)
pure gonadal dysgenesis (Q99.1)
Turner syndrome (Q96.-)
E28.8 Other ovarian dysfunction
Incl.:
Ovarian hyperfunction NOS
E28.9 Ovarian dysfunction, unspecified

E29 Testicular dysfunction

Excl.:
androgen resistance syndrome (E34.5)
azoospermia or oligospermia NOS (N46)
isolated gonadotropin deficiency (E23.0)
Klinefelter syndrome (Q98.0-Q98.2, Q98.4)
postprocedural testicular hypofunction (E89.5)
testicular feminization (syndrome) (E34.5)
E29.0 Testicular hyperfunction
Incl.:
Hypersecretion of testicular hormones
E29.1 Testicular hypofunction
Incl.:
5-Alpha-reductase deficiency (with male pseudohermaphroditism)
Defective biosynthesis of testicular androgen NOS
Testicular hypogonadism NOS
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
E29.8 Other testicular dysfunction
E29.9 Testicular dysfunction, unspecified

E30 Disorders of puberty, not elsewhere classified

E30.0 Delayed puberty
Incl.:
Constitutional delay of puberty
Delayed sexual development
E30.1 Precocious puberty
Incl.:
Precocious menstruation
Excl.:
Albright(-McCune)(-Sternberg) syndrome (Q78.1)
central precocious puberty (E22.8)
congenital adrenal hyperplasia (E25.0)
female heterosexual precocious pseudopuberty (E25.-)
male isosexual precocious pseudopuberty (E25.-)
E30.8 Other disorders of puberty
Incl.:
Premature thelarche
E30.9 Disorder of puberty, unspecified

E31 Polyglandular dysfunction

Excl.:
ataxia telangiectasia [Louis-Bar] (G11.3)
dystrophia myotonica [Steinert] (G71.1)
pseudohypoparathyroidism (E20.1)
E31.0 Autoimmune polyglandular failure
Incl.:
Schmidt syndrome
E31.1 Polyglandular hyperfunction
Excl.:
multiple endocrine adenomatosis (D44.8)
E31.8 Other polyglandular dysfunction
E31.9 Polyglandular dysfunction, unspecified

E32 Diseases of thymus

Excl.:
aplasia or hypoplasia with immunodeficiency (D82.1)
myasthenia gravis (G70.0)
E32.0 Persistent hyperplasia of thymus
Incl.:
Hypertrophy of thymus
E32.1 Abscess of thymus
E32.8 Other diseases of thymus
E32.9 Disease of thymus, unspecified

E34 Other endocrine disorders

Excl.:
pseudohypoparathyroidism (E20.1)
E34.0 Carcinoid syndrome
Note:

May be used as an additional code, if desired, to identify functional activity associated with a carcinoid tumour.

E34.1 Other hypersecretion of intestinal hormones
E34.2 Ectopic hormone secretion, not elsewhere classified
E34.3 Short stature, not elsewhere classified
Incl.:
Short stature:
  • NOS
  • constitutional
  • Laron-type
  • psychosocial
Excl.:
progeria (E34.8)
Russell-Silver syndrome (Q87.1)
short-limbed stature with immunodeficiency (D82.2)
short stature:
  • achondroplastic (Q77.4)
  • hypochondroplastic (Q77.4)
  • in specific dysmorphic syndromes - code to syndrome - see Alphabetical Index
  • nutritional (E45)
  • pituitary (E23.0)
  • renal (N25.0)
E34.4 Constitutional tall stature
Incl.:
Constitutional gigantism
E34.5 Androgen resistance syndrome
Incl.:
Male pseudohermaphroditism with androgen resistance
Peripheral hormonal receptor disorder
Reifenstein syndrome
Testicular feminization (syndrome)
E34.8 Other specified endocrine disorders
Incl.:
Pineal gland dysfunction
Progeria
E34.9 Endocrine disorder, unspecified
Incl.:
Disturbance:
  • endocrine NOS
  • hormone NOS

E35* Disorders of endocrine glands in diseases classified elsewhere

E35.0* Disorders of thyroid gland in diseases classified elsewhere
Incl.:
Tuberculosis of thyroid gland (A18.8†)
E35.1* Disorders of adrenal glands in diseases classified elsewhere
Incl.:
Tuberculous Addison disease (A18.7†)
Waterhouse-Friderichsen syndrome (meningococcal) (A39.1†)
E35.8* Disorders of other endocrine glands in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IV
Endocrine, nutritional and metabolic diseases
(E00-E90)

Malnutrition
(E40-E46)

Note:

The degree of malnutrition is usually measured in terms of weight, expressed in standard deviations from the mean of the relevant reference population. When one or more previous measurements are available, lack of weight gain in children, or evidence of weight loss in children or adults, is usually indicative of malnutrition. When only one measurement is available, the diagnosis is based on probabilities and is not definitive without other clinical or laboratory tests. In the exceptional circumstances that no measurement of weight is available, reliance should be placed on clinical evidence.

If an observed weight is below the mean value of the reference population, there is a high probability of severe malnutrition if there is an observed value situated 3 or more standard deviations below the mean value of the reference population; a high probability of moderate malnutrition for an observed value located between 2 and less than 3 standard deviations below this mean; and a high probability of mild malnutrition for an observed value located between 1 and less than 2 standard deviations below this mean.

Excl.:
intestinal malabsorption (K90.-)
nutritional anaemias (D50-D53)
sequelae of protein-energy malnutrition (E64.0)
slim disease (B22.2)
starvation (T73.0)

E40 Kwashiorkor

Definition

Severe malnutrition with nutritional oedema with dyspigmentation of skin and hair.

Excl.:
marasmic kwashiorkor (E42)

E41 Nutritional marasmus

Incl.:
Severe malnutrition with marasmus
Excl.:
marasmic kwashiorkor (E42)

E42 Marasmic kwashiorkor

Incl.:
Severe protein-energy malnutrition [as in E43]:
  • intermediate form
  • with signs of both kwashiorkor and marasmus

E43 Unspecified severe protein-energy malnutrition

Definition

Severe loss of weight [wasting] in children or adults, or lack of weight gain in children leading to an observed weight that is at least 3 standard deviations below the mean value for the reference population (or a similar loss expressed through other statistical approaches). When only one measurement is available, there is a high probability of severe wasting when the observed weight is 3 or more standard deviations below the mean of the reference population.

Incl.:
Starvation oedema

E44 Protein-energy malnutrition of moderate and mild degree

E44.0 Moderate protein-energy malnutrition
Definition

Weight loss in children or adults, or lack of weight gain in children leading to an observed weight that is 2 or more but less than 3 standard deviations below the mean value for the reference population (or a similar loss expressed through other statistical approaches). When only one measurement is available, there is a high probability of moderate protein-energy malnutrition when the observed weight is 2 or more but less than 3 standard deviations below the mean of the reference population.

E44.1 Mild protein-energy malnutrition
Definition

Weight loss in children or adults, or lack of weight gain in children leading to an observed weight that is 1 or more but less than 2 standard deviations below the mean value for the reference population (or a similar loss expresssed through other statistical approaches). When only one measurement is available, there is a high probability of mild protein-energy malnutrition when the observed weight is 1 or more but less than 2 standard deviations below the mean of the reference population.

E45 Retarded development following protein-energy malnutrition

Incl.:
Nutritional:
  • short stature
  • stunting
Physical retardation due to malnutrition

E46 Unspecified protein-energy malnutrition

Incl.:
Malnutrition NOS
Protein-energy imbalance NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IV
Endocrine, nutritional and metabolic diseases
(E00-E90)

Other nutritional deficiencies
(E50-E64)

Excl.:
nutritional anaemias (D50-D53)

E50 Vitamin A deficiency

Excl.:
sequelae of vitamin A deficiency (E64.1)
E50.0 Vitamin A deficiency with conjunctival xerosis
E50.1 Vitamin A deficiency with Bitot spot and conjunctival xerosis
Incl.:
Bitot spot in the young child
E50.2 Vitamin A deficiency with corneal xerosis
E50.3 Vitamin A deficiency with corneal ulceration and xerosis
E50.4 Vitamin A deficiency with keratomalacia
E50.5 Vitamin A deficiency with night blindness
E50.6 Vitamin A deficiency with xerophthalmic scars of cornea
E50.7 Other ocular manifestations of vitamin A deficiency
Incl.:
Xerophthalmia NOS
E50.8 Other manifestations of vitamin A deficiency
Incl.:
  • Follicular keratosis
  • Xeroderma
  • due to vitamin A deficiency† (L86*)
E50.9 Vitamin A deficiency, unspecified
Incl.:
Hypovitaminosis A NOS

E51 Thiamine deficiency

Excl.:
sequelae of thiamine deficiency (E64.8)
E51.1 Beriberi
Incl.:
Beriberi:
E51.2 Wernicke encephalopathy
E51.8 Other manifestations of thiamine deficiency
E51.9 Thiamine deficiency, unspecified

E52 Niacin deficiency [pellagra]

Incl.:
Deficiency:
  • niacin(-tryptophan)
  • nicotinamide
Pellagra (alcoholic)
Excl.:
sequelae of niacin deficiency (E64.8)

E53 Deficiency of other B group vitamins

Excl.:
sequelae of vitamin B deficiency (E64.8)
vitamin B12 deficiency anaemia (D51.-)
E53.0 Riboflavin deficiency
Incl.:
Ariboflavinosis
E53.1 Pyridoxine deficiency
Incl.:
Vitamin B6 deficiency
Excl.:
pyridoxine-responsive sideroblastic anaemia (D64.3)
E53.8 Deficiency of other specified B group vitamins
Incl.:
Deficiency:
  • biotin
  • cyanocobalamin
  • folate
  • folic acid
  • pantothenic acid
  • vitamin B12
E53.9 Vitamin B deficiency, unspecified

E54 Ascorbic acid deficiency

Incl.:
Deficiency of vitamin C
Scurvy
Excl.:
scorbutic anaemia (D53.2)
sequelae of vitamin C deficiency (E64.2)

E55 Vitamin D deficiency

Excl.:
adult osteomalacia (M83.-)
osteoporosis (M80-M81)
sequelae of rickets (E64.3)
E55.0 Rickets, active
Incl.:
Osteomalacia:
  • infantile
  • juvenile
Excl.:
rickets:
E55.9 Vitamin D deficiency, unspecified
Incl.:
Avitaminosis D

E56 Other vitamin deficiencies

Excl.:
sequelae of other vitamin deficiencies (E64.8)
E56.0 Deficiency of vitamin E
E56.1 Deficiency of vitamin K
Excl.:
deficiency of coagulation factor due to vitamin K deficiency (D68.4)
vitamin K deficiency of newborn (P53)
E56.8 Deficiency of other vitamins
E56.9 Vitamin deficiency, unspecified

E58 Dietary calcium deficiency

Excl.:
disorder of calcium metabolism (E83.5)
sequelae of calcium deficiency (E64.8)

E59 Dietary selenium deficiency

Incl.:
Keshan disease
Excl.:
sequelae of selenium deficiency (E64.8)

E60 Dietary zinc deficiency

E61 Deficiency of other nutrient elements

Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
Excl.:
disorders of mineral metabolism (E83.-)
iodine-deficiency-related thyroid disorders (E00-E02)
sequelae of malnutrition and other nutritional deficiencies (E64.-)
E61.0 Copper deficiency
E61.1 Iron deficiency
Excl.:
iron deficiency anaemia (D50.-)
E61.2 Magnesium deficiency
E61.3 Manganese deficiency
E61.4 Chromium deficiency
E61.5 Molybdenum deficiency
E61.6 Vanadium deficiency
E61.7 Deficiency of multiple nutrient elements
E61.8 Deficiency of other specified nutrient elements
E61.9 Deficiency of nutrient element, unspecified

E63 Other nutritional deficiencies

Excl.:
dehydration (E86)
failure to thrive (R62.8)
feeding problems in newborn (P92.-)
sequelae of malnutrition and other nutritional deficiencies (E64.-)
E63.0 Essential fatty acid [EFA] deficiency
E63.1 Imbalance of constituents of food intake
E63.8 Other specified nutritional deficiencies
E63.9 Nutritional deficiency, unspecified
Incl.:
Nutritional cardiomyopathy NOS† (I43.2*)

E64 Sequelae of malnutrition and other nutritional deficiencies

Note:
Not to be used for chronic malnutrition or nutritional deficiency. Code these to current malnutrition or nutritional deficiency.
E64.0 Sequelae of protein-energy malnutrition
Excl.:
retarded development following protein-energy malnutrition (E45)
E64.1 Sequelae of vitamin A deficiency
E64.2 Sequelae of vitamin C deficiency
E64.3 Sequelae of rickets
Coding-Hint
Use additional code (M40.1, M41.5), if desired, to identify spinal deformity
E64.8 Sequelae of other nutritional deficiencies
E64.9 Sequelae of unspecified nutritional deficiency

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IV
Endocrine, nutritional and metabolic diseases
(E00-E90)

E65 Localized adiposity

Incl.:
Fat pad

E66 Obesity

Excl.:
adiposogenital dystrophy (E23.6)
lipomatosis:
Prader-Willi syndrome (Q87.1)
E66.0 Obesity due to excess calories
E66.1 Drug-induced obesity
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
E66.2 Extreme obesity with alveolar hypoventilation
Incl.:
Obesity hypoventilation syndrome (OHS)
Pickwickian syndrome
E66.8 Other obesity
Incl.:
Morbid obesity
E66.9 Obesity, unspecified
Incl.:
Simple obesity NOS

E67 Other hyperalimentation

Excl.:
hyperalimentation NOS (R63.2)
sequelae of hyperalimentation (E68)
E67.0 Hypervitaminosis A
E67.1 Hypercarotenaemia
E67.2 Megavitamin-B6 syndrome
E67.3 Hypervitaminosis D
E67.8 Other specified hyperalimentation

E68 Sequelae of hyperalimentation

Note:
Not to be used for chronic hyperalimentation. Code these to current hyperalimentation.

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IV
Endocrine, nutritional and metabolic diseases
(E00-E90)

Metabolic disorders
(E70-E90)

Excl.:
androgen resistance syndrome (E34.5)
congenital adrenal hyperplasia (E25.0)
Ehlers-Danlos syndrome (Q79.6)
haemolytic anaemias due to enzyme disorders (D55.-)
Marfan syndrome (Q87.4)
5-alpha-reductase deficiency (E29.1)

E70 Disorders of aromatic amino-acid metabolism

E70.0 Classical phenylketonuria
E70.1 Other hyperphenylalaninaemias
E70.2 Disorders of tyrosine metabolism
Incl.:
Alkaptonuria
Hypertyrosinaemia
Ochronosis
Tyrosinaemia
Tyrosinosis
E70.3 Albinism
Incl.:
Albinism:
  • ocular
  • oculocutaneous
Syndrome:
  • Chediak(-Steinbrinck)-Higashi
  • Cross
  • Hermansky-Pudlak
E70.8 Other disorders of aromatic amino-acid metabolism
Incl.:
Disorders of:
  • histidine metabolism
  • tryptophan metabolism
E70.9 Disorder of aromatic amino-acid metabolism, unspecified

E71 Disorders of branched-chain amino-acid metabolism and fatty-acid metabolism

E71.0 Maple-syrup-urine disease
E71.1 Other disorders of branched-chain amino-acid metabolism
Incl.:
Hyperleucine-isoleucinaemia
Hypervalinaemia
Isovaleric acidaemia
Methylmalonic acidaemia
Propionic acidaemia
E71.2 Disorder of branched-chain amino-acid metabolism, unspecified
E71.3 Disorders of fatty-acid metabolism
Incl.:
Adrenoleukodystrophy [Addison-Schilder]
Muscle carnitine palmityltransferase deficiency
Very long chain acyl-CoA dehydrogenase (VLCAD) deficiency
Excl.:
Schilder disease (G37.0)

E72 Other disorders of amino-acid metabolism

Excl.:
abnormal findings without manifest disease (R70-R89)
disorders of:
  • aromatic amino-acid metabolism (E70.-)
  • branched-chain amino-acid metabolism (E71.0-E71.2)
  • fatty-acid metabolism (E71.3)
  • purine and pyrimidine metabolism (E79.-)
gout (M10.-)
E72.0 Disorders of amino-acid transport
Incl.:
Cystine storage disease† (N29.8*)
Cystinosis
Cystinuria
Fanconi(-de Toni)(-Debré) syndrome
Hartnup disease
Lowe syndrome
Excl.:
disorders of tryptophan metabolism (E70.8)
E72.1 Disorders of sulfur-bearing amino-acid metabolism
Incl.:
Cystathioninuria
Homocystinuria
Methioninaemia
Sulfite oxidase deficiency
Excl.:
transcobalamin II deficiency (D51.2)
E72.2 Disorders of urea cycle metabolism
Incl.:
Argininaemia
Argininosuccinic aciduria
Citrullinaemia
Hyperammonaemia
Excl.:
disorders of ornithine metabolism (E72.4)
E72.3 Disorders of lysine and hydroxylysine metabolism
Incl.:
Glutaric aciduria
Hydroxylysinaemia
Hyperlysinaemia
Excl.:
Refsum disease (G60.1)
Zellweger syndrome (Q87.8)
E72.4 Disorders of ornithine metabolism
Incl.:
Ornithinaemia (types I, II)
E72.5 Disorders of glycine metabolism
Incl.:
Hyperhydroxyprolinaemia
Hyperprolinaemia (types I, II)
Non-ketotic hyperglycinaemia
Sarcosinaemia
E72.8 Other specified disorders of amino-acid metabolism
Incl.:
Disorders of:
  • Beta-amino-acid metabolism
  • Gamma-glutamyl cycle
E72.9 Disorder of amino-acid metabolism, unspecified

E73 Lactose intolerance

E73.0 Congenital lactase deficiency
E73.1 Secondary lactase deficiency
E73.8 Other lactose intolerance
E73.9 Lactose intolerance, unspecified

E74 Other disorders of carbohydrate metabolism

Excl.:
increased secretion of glucagon (E16.3)
diabetes mellitus (E10-E14)
hypoglycaemia NOS (E16.2)
mucopolysaccharidosis (E76.0-E76.3)
E74.0 Glycogen storage disease
Incl.:
Cardiac glycogenosis
Disease:
  • Andersen
  • Cori
  • Forbes
  • Hers
  • McArdle
  • Pompe
  • Tarui
  • Tauri
  • von Gierke
Liver phosphorylase deficiency
E74.1 Disorders of fructose metabolism
Incl.:
Essential fructosuria
Fructose-1,6-diphosphatase deficiency
Hereditary fructose intolerance
E74.2 Disorders of galactose metabolism
Incl.:
Galactokinase deficiency
Galactosaemia
E74.3 Other disorders of intestinal carbohydrate absorption
Incl.:
Glucose-galactose malabsorption
Sucrase deficiency
Excl.:
lactose intolerance (E73.-)
E74.4 Disorders of pyruvate metabolism and gluconeogenesis
Incl.:
Deficiency of:
  • phosphoenolpyruvate carboxykinase
  • pyruvate:
    • carboxylase
    • dehydrogenase
Excl.:
with anaemia (D55.-)
E74.8 Other specified disorders of carbohydrate metabolism
Incl.:
Essential pentosuria
Oxalosis
Oxaluria
Renal glycosuria
E74.9 Disorder of carbohydrate metabolism, unspecified

E75 Disorders of sphingolipid metabolism and other lipid storage disorders

Excl.:
mucolipidosis, types I-III (E77.0-E77.1)
Refsum disease (G60.1)
E75.0 GM2 gangliosidosis
Incl.:
Disease:
  • Sandhoff
  • Tay-Sachs
GM2 gangliosidosis:
  • NOS
  • adult
  • juvenile
E75.1 Other gangliosidosis
Incl.:
Gangliosidosis:
  • NOS
  • GM1
  • GM3
Mucolipidosis IV
E75.2 Other sphingolipidosis
Incl.:
Disease:
  • Fabry(-Anderson)
  • Gaucher
  • Krabbe
  • Niemann-Pick
Farber syndrome
Metachromatic leukodystrophy
Sulfatase deficiency
Excl.:
adrenoleukodystrophy [Addison-Schilder] (E71.3)
E75.3 Sphingolipidosis, unspecified
E75.4 Neuronal ceroid lipofuscinosis
Incl.:
Disease:
  • Batten
  • Bielschowsky-Jansky
  • Kufs
  • Spielmeyer-Vogt
E75.5 Other lipid storage disorders
Incl.:
Cerebrotendinous cholesterosis [van Bogaert-Scherer-Epstein]
Wolman disease
E75.6 Lipid storage disorder, unspecified

E76 Disorders of glycosaminoglycan metabolism

E76.0 Mucopolysaccharidosis, type I
Incl.:
Syndrome:
  • Hurler
  • Hurler-Scheie
  • Scheie
E76.1 Mucopolysaccharidosis, type II
Incl.:
Hunter syndrome
E76.2 Other mucopolysaccharidoses
Incl.:
Beta-glucuronidase deficiency
Mucopolysaccharidosis, types III, IV, VI, VII
Syndrome:
  • Maroteaux-Lamy (mild)(severe)
  • Morquio(-like)(classic)
  • Sanfilippo (type B)(type C)(type D)
E76.3 Mucopolysaccharidosis, unspecified
E76.8 Other disorders of glucosaminoglycan metabolism
E76.9 Disorder of glucosaminoglycan metabolism, unspecified

E77 Disorders of glycoprotein metabolism

E77.0 Defects in post-translational modification of lysosomal enzymes
Incl.:
Mucolipidosis II [I-cell disease]
Mucolipidosis III [pseudo-Hurler polydystrophy]
E77.1 Defects in glycoprotein degradation
Incl.:
Aspartylglucosaminuria
Fucosidosis
Mannosidosis
Sialidosis [mucolipidosis I]
E77.8 Other disorders of glycoprotein metabolism
E77.9 Disorder of glycoprotein metabolism, unspecified

E78 Disorders of lipoprotein metabolism and other lipidaemias

Excl.:
sphingolipidosis (E75.0-E75.3)
E78.0 Pure hypercholesterolaemia
Incl.:
Familial hypercholesterolaemia
Fredrickson hyperlipoproteinaemia, type IIa
Hyperbetalipoproteinaemia
Hyperlipidaemia, group A
Low-density-lipoprotein-type [LDL] hyperlipoproteinaemia
E78.1 Pure hyperglyceridaemia
Incl.:
Endogenous hyperglyceridaemia
Fredrickson hyperlipoproteinaemia, type IV
Hyperlipidaemia, group B
Hyperprebetalipoproteinaemia
Very-low-density-lipoprotein-type [VLDL] hyperlipoproteinaemia
E78.2 Mixed hyperlipidaemia
Incl.:
Broad- or floating-betalipoproteinaemia
Fredrickson hyperlipoproteinaemia, type IIb or III
Hyperbetalipoproteinaemia with prebetalipoproteinaemia
Hypercholesterolaemia with endogenous hyperglyceridaemia
Hyperlipidaemia, group C
Tubero-eruptive xanthoma
Xanthoma tuberosum
Excl.:
cerebrotendinous cholesterosis [van Bogaert-Scherer-Epstein] (E75.5)
E78.3 Hyperchylomicronaemia
Incl.:
Fredrickson hyperlipoproteinaemia, type I or V
Hyperlipidaemia, group D
Mixed hyperglyceridaemia
E78.4 Other hyperlipidaemia
Incl.:
Familial combined hyperlipidaemia
E78.5 Hyperlipidaemia, unspecified
E78.6 Lipoprotein deficiency
Incl.:
Abetalipoproteinaemia
High-density lipoprotein deficiency
Hypoalphalipoproteinaemia
Hypobetalipoproteinaemia (familial)
Lecithin cholesterol acyltransferase deficiency
Tangier disease
E78.8 Other disorders of lipoprotein metabolism
E78.9 Disorder of lipoprotein metabolism, unspecified

E79 Disorders of purine and pyrimidine metabolism

Excl.:
calculus of kidney (N20.0)
combined immunodeficiency disorders (D81.-)
gout (M10.-)
orotaciduric anaemia (D53.0)
xeroderma pigmentosum (Q82.1)
E79.0 Hyperuricaemia without signs of inflammatory arthritis and tophaceous disease
Incl.:
Asymptomatic hyperuricaemia
E79.1 Lesch-Nyhan syndrome
E79.8 Other disorders of purine and pyrimidine metabolism
Incl.:
Hereditary xanthinuria
E79.9 Disorder of purine and pyrimidine metabolism, unspecified

E80 Disorders of porphyrin and bilirubin metabolism

Incl.:
defects of catalase and peroxidase
E80.0 Hereditary erythropoietic porphyria
Incl.:
Congenital erythropoietic porphyria
Erythropoietic protoporphyria
E80.1 Porphyria cutanea tarda
E80.2 Other porphyria
Incl.:
Hereditary coproporphyria
Porphyria:
  • NOS
  • acute intermittent (hepatic)
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
E80.3 Defects of catalase and peroxidase
Incl.:
Acatalasia [Takahara]
E80.4 Gilbert syndrome
E80.5 Crigler-Najjar syndrome
E80.6 Other disorders of bilirubin metabolism
Incl.:
Dubin-Johnson syndrome
Rotor syndrome
E80.7 Disorder of bilirubin metabolism, unspecified

E83 Disorders of mineral metabolism

Excl.:
dietary mineral deficiency (E58-E61)
parathyroid disorders (E20-E21)
vitamin D deficiency (E55.-)
E83.0 Disorders of copper metabolism
Incl.:
Menkes (kinky hair)(steely hair) disease
Wilson disease
E83.1 Disorders of iron metabolism
Incl.:
Haemochromatosis
Excl.:
anaemia:
E83.2 Disorders of zinc metabolism
Incl.:
Acrodermatitis enteropathica
E83.3 Disorders of phosphorus metabolism and phosphatases
Incl.:
Acid phosphatase deficiency
Familial hypophosphataemia
Hypophosphatasia
Vitamin-D-resistant:
  • osteomalacia
  • rickets
Excl.:
adult osteomalacia (M83.-)
osteoporosis (M80-M81)
E83.4 Disorders of magnesium metabolism
Incl.:
Hypermagnesaemia
Hypomagnesaemia
E83.5 Disorders of calcium metabolism
Incl.:
Familial hypocalciuric hypercalcaemia
Idiopathic hypercalciuria
Excl.:
chondrocalcinosis (M11.1-M11.2)
hyperparathyroidism (E21.0-E21.3)
E83.8 Other disorders of mineral metabolism
E83.9 Disorder of mineral metabolism, unspecified

E84 Cystic fibrosis

Incl.:
mucoviscidosis
E84.0 Cystic fibrosis with pulmonary manifestations
E84.1 Cystic fibrosis with intestinal manifestations
Incl.:
Distal intestinal obstruction syndrome
Meconium ileus in cystic fibrosis† (P75*)
Excl.:
meconium obstruction (ileus) in cases where cystic fibrosis is known not to be present (P76.0)
E84.8 Cystic fibrosis with other manifestations
E84.9 Cystic fibrosis, unspecified

E85 Amyloidosis

Excl.:
Alzheimer disease (G30.-)
E85.0 Non-neuropathic heredofamilial amyloidosis
Incl.:
Familial Mediterranean fever
Hereditary amyloid nephropathy
E85.1 Neuropathic heredofamilial amyloidosis
Incl.:
Amyloid polyneuropathy (Portuguese)
E85.2 Heredofamilial amyloidosis, unspecified
E85.3 Secondary systemic amyloidosis
Incl.:
Haemodialysis-associated amyloidosis
E85.4 Organ-limited amyloidosis
Incl.:
Localized amyloidosis
E85.8 Other amyloidosis
E85.9 Amyloidosis, unspecified

E86 Volume depletion

Incl.:
Dehydration
Depletion of volume of plasma or extracellular fluid
Hypovolaemia
Excl.:
dehydration of newborn (P74.1)
hypovolaemic shock:

E87 Other disorders of fluid, electrolyte and acid-base balance

E87.0 Hyperosmolality and hypernatraemia
Incl.:
Sodium [Na] excess
Sodium [Na] overload
E87.1 Hypo-osmolality and hyponatraemia
Incl.:
Sodium [Na] deficiency
Excl.:
Syndrome of inappropriate secretion of antidiuretic hormone (E22.2)
E87.2 Acidosis
Incl.:
Acidosis:
  • NOS
  • lactic
  • metabolic
  • respiratory
Excl.:
diabetic acidosis (E10-E14 with common fourth character .1)
E87.3 Alkalosis
Incl.:
Alkalosis:
  • NOS
  • metabolic
  • respiratory
E87.4 Mixed disorder of acid-base balance
E87.5 Hyperkalaemia
Incl.:
Potassium [K] excess
Potassium [K] overload
E87.6 Hypokalaemia
Incl.:
Potassium [K] deficiency
E87.7 Fluid overload
Excl.:
oedema (R60.-)
E87.8 Other disorders of electrolyte and fluid balance, not elsewhere classified
Incl.:
Electrolyte imbalance NOS
Hyperchloraemia
Hypochloraemia

E88 Other metabolic disorders

Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
Excl.:
histiocytosis X (chronic) (C96.6)
E88.0 Disorders of plasma-protein metabolism, not elsewhere classified
Incl.:
Alpha-1-antitrypsin deficiency
Bisalbuminaemia
Excl.:
disorder of lipoprotein metabolism (E78.-)
monoclonal gammopathy of undetermined significance (MGUS) (D47.2)
polyclonal hypergammaglobulinaemia (D89.0)
Waldenström macroglobulinaemia (C88.0)
E88.1 Lipodystrophy, not elsewhere classified
Incl.:
Lipodystrophy NOS
Excl.:
Whipple disease (K90.8)
E88.2 Lipomatosis, not elsewhere classified
Incl.:
Lipomatosis:
  • NOS
  • dolorosa [Dercum]
E88.3 Tumour lysis syndrome
Incl.:
Tumour lysis (following antineoplastic drug therapy)(spontaneous)
E88.8 Other specified metabolic disorders
Incl.:
Launois-Bensaude adenolipomatosis
Trimethylaminuria
E88.9 Metabolic disorder, unspecified

E89 Postprocedural endocrine and metabolic disorders, not elsewhere classified

E89.0 Postprocedural hypothyroidism
Incl.:
Postirradiation hypothyroidism
Postsurgical hypothyroidism
E89.1 Postprocedural hypoinsulinaemia
Incl.:
Postpancreatectomy hyperglycaemia
Postsurgical hypoinsulinaemia
E89.2 Postprocedural hypoparathyroidism
Incl.:
Parathyroprival tetany
E89.3 Postprocedural hypopituitarism
Incl.:
Postirradiation hypopituitarism
E89.4 Postprocedural ovarian failure
E89.5 Postprocedural testicular hypofunction
E89.6 Postprocedural adrenocortical(-medullary) hypofunction
E89.8 Other postprocedural endocrine and metabolic disorders
E89.9 Postprocedural endocrine and metabolic disorder, unspecified

E90* Nutritional and metabolic disorders in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter V
Mental and behavioural disorders
(F00-F99)

Organic, including symptomatic, mental disorders
(F00-F09)

Additional Text

This block comprises a range of mental disorders grouped together on the basis of their having in common a demonstrable etiology in cerebral disease, brain injury, or other insult leading to cerebral dysfunction. The dysfunction may be primary, as in diseases, injuries, and insults that affect the brain directly and selectively; or secondary, as in systemic diseases and disorders that attack the brain only as one of the multiple organs or systems of the body that are involved.

Dementia (F00-F03) is a syndrome due to disease of the brain, usually of a chronic or progressive nature, in which there is disturbance of multiple higher cortical functions, including memory, thinking, orientation, comprehension, calculation, learning capacity, language, and judgement. Consciousness is not clouded. The impairments of cognitive function are commonly accompanied, and occasionally preceded, by deterioration in emotional control, social behaviour, or motivation. This syndrome occurs in Alzheimer disease, in cerebrovascular disease, and in other conditions primarily or secondarily affecting the brain.

Coding-Hint
Use additional code, if desired, to identify the underlying disease.

F00* Dementia in Alzheimer disease (G30.-†)

Definition

Alzheimer disease is a primary degenerative cerebral disease of unknown etiology with characteristic neuropathological and neurochemical features. The disorder is usually insidious in onset and develops slowly but steadily over a period of several years.

F00.0* Dementia in Alzheimer disease with early onset (G30.0†)
Definition

Dementia in Alzheimer disease with onset before the age of 65, with a relatively rapid deteriorating course and with marked multiple disorders of the higher cortical functions.

Incl.:
Alzheimer disease, type 2
Presenile dementia, Alzheimer type
Primary degenerative dementia of the Alzheimer type, presenile onset
F00.1* Dementia in Alzheimer disease with late onset (G30.1†)
Definition

Dementia in Alzheimer disease with onset after the age of 65, usually in the late 70s or thereafter, with a slow progression, and with memory impairment as the principal feature.

Incl.:
Alzheimer disease, type 1
Primary degenerative dementia of the Alzheimer type, senile onset
Senile dementia, Alzheimer type
F00.2* Dementia in Alzheimer disease, atypical or mixed type (G30.8†)
Incl.:
Atypical dementia, Alzheimer type
F00.9* Dementia in Alzheimer disease, unspecified (G30.9†)

F01 Vascular dementia

Definition

Vascular dementia is the result of infarction of the brain due to vascular disease, including hypertensive cerebrovascular disease. The infarcts are usually small but cumulative in their effect. Onset is usually in later life.

Incl.:
arteriosclerotic dementia
F01.0 Vascular dementia of acute onset
Definition

Usually develops rapidly after a succession of strokes from cerebrovascular thrombosis, embolism or haemorrhage. In rare cases, a single large infarction may be the cause.

F01.1 Multi-infarct dementia
Definition

Gradual in onset, following a number of transient ischaemic episodes which produce an accumulation of infarcts in the cerebral parenchyma.

Incl.:
Predominantly cortical dementia
F01.2 Subcortical vascular dementia
Definition

Includes cases with a history of hypertension and foci of ischaemic destruction in the deep white matter of the cerebral hemispheres. The cerebral cortex is usually preserved and this contrasts with the clinical picture which may closely resemble that of dementia in Alzheimer disease.

F01.3 Mixed cortical and subcortical vascular dementia
F01.8 Other vascular dementia
F01.9 Vascular dementia, unspecified

F02* Dementia in other diseases classified elsewhere

Definition

Cases of dementia due, or presumed to be due, to causes other than Alzheimer disease or cerebrovascular disease. Onset may be at any time in life, though rarely in old age.

F02.0* Dementia in Pick disease (G31.0†)
Definition

A progressive dementia, commencing in middle age, characterized by early, slowly progressing changes of character and social deterioration, followed by impairment of intellect, memory, and language functions, with apathy, euphoria and, occasionally, extrapyramidal phenomena.

F02.1* Dementia in Creutzfeldt-Jakob disease (A81.0†)
Definition

A progressive dementia with extensive neurological signs, due to specific neuropathological changes that are presumed to be caused by a transmissible agent. Onset is usually in middle or later life, but may be at any adult age. The course is subacute, leading to death within one to two years.

F02.2* Dementia in Huntington disease (G10†)
Definition

A dementia occurring as part of a widespread degeneration of the brain. The disorder is transmitted by a single autosomal dominant gene. Symptoms typically emerge in the third and fourth decade. Progression is slow, leading to death usually within 10 to 15 years.

Incl.:
Dementia in Huntington chorea
F02.3* Dementia in Parkinson disease (G20†)
Definition

A dementia developing in the course of established Parkinson disease. No particular distinguishing clinical features have yet been demonstrated.

Incl.:
Dementia in:
  • paralysis agitans
  • parkinsonism
F02.4* Dementia in human immunodeficiency virus [HIV] disease (B22.0†)
Definition

Dementia developing in the course of HIV disease, in the absence of a concurrent illness or condition other than HIV infection that could explain the clinical features.

F02.8* Dementia in other specified diseases classified elsewhere
Incl.:
Dementia (in):

F03 Unspecified dementia

Incl.:
Presenile:
  • dementia NOS
  • psychosis NOS
Primary degenerative dementia NOS
Senile:
  • dementia:
    • NOS
    • depressed or paranoid type
  • psychosis NOS
Excl.:
senile dementia with delirium or acute confusional state (F05.1)
senility NOS (R54)

F04 Organic amnesic syndrome, not induced by alcohol and other psychoactive substances

Definition

A syndrome of prominent impairment of recent and remote memory while immediate recall is preserved, with reduced ability to learn new material and disorientation in time. Confabulation may be a marked feature, but perception and other cognitive functions, including the intellect, are usually intact. The prognosis depends on the course of the underlying lesion.

Incl.:
Korsakov psychosis or syndrome, nonalcoholic
Excl.:
amnesia:
Korsakov syndrome:

F05 Delirium, not induced by alcohol and other psychoactive substances

Definition

An etiologically nonspecific organic cerebral syndrome characterized by concurrent disturbances of consciousness and attention, perception, thinking, memory, psychomotor behaviour, emotion, and the sleep-wake schedule. The duration is variable and the degree of severity ranges from mild to very severe.

Incl.:
acute or subacute:
  • brain syndrome
  • confusional state (nonalcoholic)
  • infective psychosis
  • organic reaction
  • psycho-organic syndrome
Excl.:
delirium tremens, alcohol-induced or unspecified (F10.4)
F05.0 Delirium not superimposed on dementia, so described
F05.1 Delirium superimposed on dementia
Incl.:
Conditions meeting the above criteria but developing in the course of a dementia (F00-F03).
F05.8 Other delirium
Incl.:
Delirium of mixed origin
Postoperative delirium
F05.9 Delirium, unspecified

F06 Other mental disorders due to brain damage and dysfunction and to physical disease

Definition

Includes miscellaneous conditions causally related to brain disorder due to primary cerebral disease, to systemic disease affecting the brain secondarily, to exogenous toxic substances or hormones, to endocrine disorders, or to other somatic illnesses.

Excl.:
associated with:
  • delirium (F05.-)
  • dementia as classified in F00-F03
resulting from use of alcohol and other psychoactive substances (F10-F19)
F06.0 Organic hallucinosis
Definition

A disorder of persistent or recurrent hallucinations, usually visual or auditory, that occur in clear consciousness and may or may not be recognized by the subject as such. Delusional elaboration of the hallucinations may occur, but delusions do not dominate the clinical picture; insight may be preserved.

Incl.:
Organic hallucinatory state (nonalcoholic)
Excl.:
alcoholic hallucinosis (F10.5)
schizophrenia (F20.-)
F06.1 Organic catatonic disorder
Definition

A disorder of diminished (stupor) or increased (excitement) psychomotor activity associated with catatonic symptoms. The extremes of psychomotor disturbance may alternate.

Excl.:
catatonic schizophrenia (F20.2)
stupor:
F06.2 Organic delusional [schizophrenia-like] disorder
Definition

A disorder in which persistent or recurrent delusions dominate the clinical picture. The delusions may be accompanied by hallucinations. Some features suggestive of schizophrenia, such as bizarre hallucinations or thought disorder, may be present.

Incl.:
Paranoid and paranoid-hallucinatory organic states
Schizophrenia-like psychosis in epilepsy
Excl.:
disorder:
schizophrenia (F20.-)
F06.3 Organic mood [affective] disorders
Definition

Disorders characterized by a change in mood or affect, usually accompanied by a change in the overall level of activity, depressive, hypomanic, manic or bipolar (see F30-F38), but arising as a consequence of an organic disorder.

Excl.:
mood disorders, nonorganic or unspecified (F30-F39)
F06.4 Organic anxiety disorder
Definition

A disorder characterized by the essential descriptive features of a generalized anxiety disorder (F41.1), a panic disorder (F41.0), or a combination of both, but arising as a consequence of an organic disorder.

Excl.:
anxiety disorders, nonorganic or unspecified (F41.-)
F06.5 Organic dissociative disorder
Definition

A disorder characterized by a partial or complete loss of the normal integration between memories of the past, awareness of identity and immediate sensations, and control of bodily movements (see F44.-), but arising as a consequence of an organic disorder.

Excl.:
dissociative [conversion] disorders, nonorganic or unspecified (F44.-)
F06.6 Organic emotionally labile [asthenic] disorder
Definition

A disorder characterized by emotional incontinence or lability, fatigability, and a variety of unpleasant physical sensations (e.g. dizziness) and pains, but arising as a consequence of an organic disorder.

Excl.:
somatoform disorders, nonorganic or unspecified (F45.-)
F06.7 Mild cognitive disorder
Definition

A disorder characterized by impairment of memory, learning difficulties, and reduced ability to concentrate on a task for more than brief periods. There is often a marked feeling of mental fatigue when mental tasks are attempted, and new learning is found to be subjectively difficult even when objectively successful. None of these symptoms is so severe that a diagnosis of either dementia (F00-F03) or delirium (F05.-) can be made. This diagnosis should be made only in association with a specified physical disorder, and should not be made in the presence of any of the mental or behavioural disorders classified to F10-F99. The disorder may precede, accompany, or follow a wide variety of infections and physical disorders, both cerebral and systemic, but direct evidence of cerebral involvement is not necessarily present. It can be differentiated from postencephalitic syndrome (F07.1) and postconcussional syndrome (F07.2) by its different etiology, more restricted range of generally milder symptoms, and usually shorter duration.

F06.8 Other specified mental disorders due to brain damage and dysfunction and to physical disease
Incl.:
Epileptic psychosis NOS
F06.9 Unspecified mental disorder due to brain damage and dysfunction and to physical disease
Incl.:
Organic:
  • brain syndrome NOS
  • mental disorder NOS

F07 Personality and behavioural disorders due to brain disease, damage and dysfunction

Definition

Alteration of personality and behaviour can be a residual or concomitant disorder of brain disease, damage or dysfunction.

F07.0 Organic personality disorder
Definition

A disorder characterized by a significant alteration of the habitual patterns of behaviour displayed by the subject premorbidly, involving the expression of emotions, needs and impulses. Impairment of cognitive and thought functions, and altered sexuality may also be part of the clinical picture.

Incl.:
Organic:
  • pseudopsychopathic personality
  • pseudoretarded personality
Syndrome:
  • frontal lobe
  • limbic epilepsy personality
  • lobotomy
  • postleucotomy
Excl.:
enduring personality change after:
  • catastrophic experience (F62.0)
  • psychiatric illness (F62.1)
postconcussional syndrome (F07.2)
postencephalitic syndrome (F07.1)
specific personality disorder (F60.-)
F07.1 Postencephalitic syndrome
Definition

Residual nonspecific and variable behavioural change following recovery from either viral or bacterial encephalitis. The principal difference between this disorder and the organic personality disorders is that it is reversible.

Excl.:
organic personality disorder (F07.0)
F07.2 Postconcussional syndrome
Definition

A syndrome that occurs following head trauma (usually sufficiently severe to result in loss of consciousness) and includes a number of disparate symptoms such as headache, dizziness, fatigue, irritability, difficulty in concentration and performing mental tasks, impairment of memory, insomnia, and reduced tolerance to stress, emotional excitement, or alcohol.

Incl.:
Postcontusional syndrome (encephalopathy)
Post-traumatic brain syndrome, nonpsychotic
Excl.:
current concussion, brain (S06.0)
F07.8 Other organic personality and behavioural disorders due to brain disease, damage and dysfunction
Incl.:
Right hemispheric organic affective disorder
F07.9 Unspecified organic personality and behavioural disorder due to brain disease, damage and dysfunction
Incl.:
Organic psychosyndrome

F09 Unspecified organic or symptomatic mental disorder

Incl.:
Psychosis:
  • organic NOS
  • symptomatic NOS
Excl.:
psychosis NOS (F29)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter V
Mental and behavioural disorders
(F00-F99)

Mental and behavioural disorders due to psychoactive substance use
(F10-F19)

Definition

This block contains a wide variety of disorders that differ in severity and clinical form but that are all attributable to the use of one or more psychoactive substances, which may or may not have been medically prescribed. The third character of the code identifies the substance involved, and the fourth character specifies the clinical state. The codes should be used, as required, for each substance specified, but it should be noted that not all fourth character codes are applicable to all substances.

Identification of the psychoactive substance should be based on as many sources of information as possible. These include self-report data, analysis of blood and other body fluids, characteristic physical and psychological symptoms, clinical signs and behaviour, and other evidence such as a drug being in the patient's possession or reports from informed third parties. Many drug users take more than one type of psychoactive substance. The main diagnosis should be classified, whenever possible, according to the substance or class of substances that has caused or contributed most to the presenting clinical syndrome. Other diagnoses should be coded when other psychoactive substances have been taken in intoxicating amounts (common fourth character .0) or to the extent of causing harm (common fourth character .1), dependence (common fourth character .2) or other disorders (common fourth character .3-.9).

Only in cases in which patterns of psychoactive substance-taking are chaotic and indiscriminate, or in which the contributions of different psychoactive substances are inextricably mixed, should the diagnosis of disorders resulting from multiple drug use (F19.-) be used.

Excl.:
abuse of non-dependence-producing substances (F55)
Modifiers

The following fourth-character subdivisions are for use with categories F10-F19:

Code Title
.0
Acute intoxication

A condition that follows the administration of a psychoactive substance resulting in disturbances in level of consciousness, cognition, perception, affect or behaviour, or other psycho-physiological functions and responses. The disturbances are directly related to the acute pharmacological effects of the substance and resolve with time, with complete recovery, except where tissue damage or other complications have arisen. Complications may include trauma, inhalation of vomitus, delirium, coma, convulsions, and other medical complications. The nature of these complications depends on the pharmacological class of substance and mode of administration.

Incl.:
Acute drunkenness (in alcoholism)
"Bad trips" (drugs)
Drunkenness NOS
Pathological intoxication
Trance and possession disorders in psychoactive substance intoxication
Excl.:
intoxication meaning poisoning (T36-T50)
.1
Harmful use

A pattern of psychoactive substance use that is causing damage to health. The damage may be physical (as in cases of hepatitis from the self-administration of injected psychoactive substances) or mental (e.g. episodes of depressive disorder secondary to heavy consumption of alcohol).

Incl.:
Psychoactive substance abuse
.2
Dependence syndrome

A cluster of behavioural, cognitive, and physiological phenomena that develop after repeated substance use and that typically include a strong desire to take the drug, difficulties in controlling its use, persisting in its use despite harmful consequences, a higher priority given to drug use than to other activities and obligations, increased tolerance, and sometimes a physical withdrawal state.

The dependence syndrome may be present for a specific psychoactive substance (e.g. tobacco, alcohol, or diazepam), for a class of substances (e.g. opioid drugs), or for a wider range of pharmacologically different psychoactive substances.

Incl.:
Chronic alcoholism
Dipsomania
Drug addiction
.3
Withdrawal state

A group of symptoms of variable clustering and severity occurring on absolute or relative withdrawal of a psychoactive substance after persistent use of that substance. The onset and course of the withdrawal state are time-limited and are related to the type of psychoactive substance and dose being used immediately before cessation or reduction of use. The withdrawal state may be complicated by convulsions.

.4
Withdrawal state with delirium

A condition where the withdrawal state as defined in the common fourth character .3 is complicated by delirium as defined in F05.-. Convulsions may also occur. When organic factors are also considered to play a role in the etiology, the condition should be classified to F05.8.

Incl.:
Delirium tremens (alcohol-induced)
.5
Psychotic disorder

A cluster of psychotic phenomena that occur during or following psychoactive substance use but that are not explained on the basis of acute intoxication alone and do not form part of a withdrawal state. The disorder is characterized by hallucinations (typically auditory, but often in more than one sensory modality), perceptual distortions, delusions (often of a paranoid or persecutory nature), psychomotor disturbances (excitement or stupor), and an abnormal affect, which may range from intense fear to ecstasy. The sensorium is usually clear but some degree of clouding of consciousness, though not severe confusion, may be present.

Incl.:
Alcoholic:
  • hallucinosis
  • jealousy
  • paranoia
  • psychosis NOS
Excl.:
alcohol- or other psychoactive substance-induced residual and late-onset psychotic disorder (F10-F19 with common fourth character .7)
.6
Amnesic syndrome

A syndrome associated with chronic prominent impairment of recent and remote memory. Immediate recall is usually preserved and recent memory is characteristically more disturbed than remote memory. Disturbances of time sense and ordering of events are usually evident, as are difficulties in learning new material. Confabulation may be marked but is not invariably present. Other cognitive functions are usually relatively well preserved and amnesic defects are out of proportion to other disturbances.

Incl.:
Amnestic disorder, alcohol- or drug-induced
Korsakov psychosis or syndrome, alcohol- or other psychoactive substance-induced or unspecified
Use additional code, (E51.2†, G32.8*) , if desired, when associated with Wernicke’s disease or syndrome.
Excl.:
nonalcoholic Korsakov psychosis or syndrome (F04)
.7
Residual and late-onset psychotic disorder

A disorder in which alcohol- or psychoactive substance-induced changes of cognition, affect, personality, or behaviour persist beyond the period during which a direct psychoactive substance-related effect might reasonably be assumed to be operating. Onset of the disorder should be directly related to the use of the psychoactive substance. Cases in which initial onset of the state occurs later than episode(s) of such substance use should be coded here only where clear and strong evidence is available to attribute the state to the residual effect of the psychoactive substance. Flashbacks may be distinguished from psychotic state partly by their episodic nature, frequently of very short duration, and by their duplication of previous alcohol- or other psychoactive substance-related experiences.

Incl.:
Alcoholic dementia NOS
Chronic alcoholic brain syndrome
Dementia and other milder forms of persisting impairment of cognitive functions
Flashbacks
Late-onset psychoactive substance-induced psychotic disorder
Posthallucinogen perception disorder
Residual:
  • affective disorder
  • disorder of personality and behaviour
Excl.:
alcohol- or psychoactive substance-induced:
.8
Other mental and behavioural disorders
.9
Unspecified mental and behavioural disorder

F10 Mental and behavioural disorders due to use of alcohol

F11 Mental and behavioural disorders due to use of opioids

F12 Mental and behavioural disorders due to use of cannabinoids

F13 Mental and behavioural disorders due to use of sedatives or hypnotics

F14 Mental and behavioural disorders due to use of cocaine

F15 Mental and behavioural disorders due to use of other stimulants, including caffeine

F16 Mental and behavioural disorders due to use of hallucinogens

F17 Mental and behavioural disorders due to use of tobacco

F18 Mental and behavioural disorders due to use of volatile solvents

F19 Mental and behavioural disorders due to multiple drug use and use of other psychoactive substances

Definition

This category should be used when two or more psychoactive substances are known to be involved, but it is impossible to assess which substance is contributing most to the disorders. It should also be used when the exact identity of some or even all the psychoactive substances being used is uncertain or unknown, since many multiple drug users themselves often do not know the details of what they are taking.

Incl.:
misuse of drugs NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter V
Mental and behavioural disorders
(F00-F99)

Schizophrenia, schizotypal and delusional disorders
(F20-F29)

Definition

This block brings together schizophrenia, as the most important member of the group, schizotypal disorder, persistent delusional disorders, and a larger group of acute and transient psychotic disorders. Schizoaffective disorders have been retained here in spite of their controversial nature.

F20 Schizophrenia

Definition

The schizophrenic disorders are characterized in general by fundamental and characteristic distortions of thinking and perception, and affects that are inappropriate or blunted. Clear consciousness and intellectual capacity are usually maintained although certain cognitive deficits may evolve in the course of time. The most important psychopathological phenomena include thought echo; thought insertion or withdrawal; thought broadcasting; delusional perception and delusions of control; influence or passivity; hallucinatory voices commenting or discussing the patient in the third person; thought disorders and negative symptoms.

The course of schizophrenic disorders can be either continuous, or episodic with progressive or stable deficit, or there can be one or more episodes with complete or incomplete remission. The diagnosis of schizophrenia should not be made in the presence of extensive depressive or manic symptoms unless it is clear that schizophrenic symptoms antedate the affective disturbance. Nor should schizophrenia be diagnosed in the presence of overt brain disease or during states of drug intoxication or withdrawal. Similar disorders developing in the presence of epilepsy or other brain disease should be classified under F06.2, and those induced by psychoactive substances under F10-F19 with common fourth character .5.

Excl.:
schizophrenia:
schizophrenic reaction (F23.2)
schizotypal disorder (F21)
F20.0 Paranoid schizophrenia
Definition

Paranoid schizophrenia is dominated by relatively stable, often paranoid delusions, usually accompanied by hallucinations, particularly of the auditory variety, and perceptual disturbances. Disturbances of affect, volition and speech, and catatonic symptoms, are either absent or relatively inconspicuous.

Incl.:
Paraphrenic schizophrenia
Excl.:
involutional paranoid state (F22.8)
paranoia (F22.0)
F20.1 Hebephrenic schizophrenia
Definition

A form of schizophrenia in which affective changes are prominent, delusions and hallucinations fleeting and fragmentary, behaviour irresponsible and unpredictable, and mannerisms common. The mood is shallow and inappropriate, thought is disorganized, and speech is incoherent. There is a tendency to social isolation. Usually the prognosis is poor because of the rapid development of "negative" symptoms, particularly flattening of affect and loss of volition. Hebephrenia should normally be diagnosed only in adolescents or young adults.

Incl.:
Disorganized schizophrenia
Hebephrenia
F20.2 Catatonic schizophrenia
Definition

Catatonic schizophrenia is dominated by prominent psychomotor disturbances that may alternate between extremes such as hyperkinesis and stupor, or automatic obedience and negativism. Constrained attitudes and postures may be maintained for long periods. Episodes of violent excitement may be a striking feature of the condition. The catatonic phenomena may be combined with a dream-like (oneiroid) state with vivid scenic hallucinations.

Incl.:
Catatonic stupor
Schizophrenic:
  • catalepsy
  • catatonia
  • flexibilitas cerea
F20.3 Undifferentiated schizophrenia
Definition

Psychotic conditions meeting the general diagnostic criteria for schizophrenia but not conforming to any of the subtypes in F20.0-F20.2, or exhibiting the features of more than one of them without a clear predominance of a particular set of diagnostic characteristics.

Incl.:
Atypical schizophrenia
Excl.:
acute schizophrenia-like psychotic disorder (F23.2)
chronic undifferentiated schizophrenia (F20.5)
post-schizophrenic depression (F20.4)
F20.4 Post-schizophrenic depression
Definition

A depressive episode, which may be prolonged, arising in the aftermath of a schizophrenic illness. Some schizophrenic symptoms, either "positive" or "negative", must still be present but they no longer dominate the clinical picture. These depressive states are associated with an increased risk of suicide. If the patient no longer has any schizophrenic symptoms, a depressive episode should be diagnosed (F32.-). If schizophrenic symptoms are still florid and prominent, the diagnosis should remain that of the appropriate schizophrenic subtype (F20.0-F20.3).

F20.5 Residual schizophrenia
Definition

A chronic stage in the development of a schizophrenic illness in which there has been a clear progression from an early stage to a later stage characterized by long- term, though not necessarily irreversible, "negative" symptoms, e.g. psychomotor slowing; underactivity; blunting of affect; passivity and lack of initiative; poverty of quantity or content of speech; poor nonverbal communication by facial expression, eye contact, voice modulation and posture; poor self-care and social performance.

Incl.:
Chronic undifferentiated schizophrenia
Restzustand (schizophrenic)
Schizophrenic residual state
F20.6 Simple schizophrenia
Definition

A disorder in which there is an insidious but progressive development of oddities of conduct, inability to meet the demands of society, and decline in total performance. The characteristic negative features of residual schizophrenia (e.g. blunting of affect and loss of volition) develop without being preceded by any overt psychotic symptoms.

F20.8 Other schizophrenia
Incl.:
Cenesthopathic schizophrenia
Schizophreniform:
  • disorder NOS
  • psychosis NOS
Excl.:
brief schizophreniform disorders (F23.2)
F20.9 Schizophrenia, unspecified

F21 Schizotypal disorder

Definition

A disorder characterized by eccentric behaviour and anomalies of thinking and affect which resemble those seen in schizophrenia, though no definite and characteristic schizophrenic anomalies occur at any stage. The symptoms may include a cold or inappropriate affect; anhedonia; odd or eccentric behaviour; a tendency to social withdrawal; paranoid or bizarre ideas not amounting to true delusions; obsessive ruminations; thought disorder and perceptual disturbances; occasional transient quasi-psychotic episodes with intense illusions, auditory or other hallucinations, and delusion-like ideas, usually occurring without external provocation. There is no definite onset and evolution and course are usually those of a personality disorder.

Incl.:
Latent schizophrenic reaction
Schizophrenia:
  • borderline
  • latent
  • prepsychotic
  • prodromal
  • pseudoneurotic
  • pseudopsychopathic
Schizotypal personality disorder
Excl.:
Asperger syndrome (F84.5)
schizoid personality disorder (F60.1)

F22 Persistent delusional disorders

Definition

Includes a variety of disorders in which long-standing delusions constitute the only, or the most conspicuous, clinical characteristic and which cannot be classified as organic, schizophrenic or affective. Delusional disorders that have lasted for less than a few months should be classified, at least temporarily, under F23.-.

F22.0 Delusional disorder
Definition

A disorder characterized by the development either of a single delusion or of a set of related delusions that are usually persistent and sometimes lifelong. The content of the delusion or delusions is very variable. Clear and persistent auditory hallucinations (voices), schizophrenic symptoms such as delusions of control and marked blunting of affect, and definite evidence of brain disease are all incompatible with this diagnosis. However, the presence of occasional or transitory auditory hallucinations, particularly in elderly patients, does not rule out this diagnosis, provided that they are not typically schizophrenic and form only a small part of the overall clinical picture.

Incl.:
Paranoia
Paranoid:
  • psychosis
  • state
Paraphrenia (late)
Sensitiver Beziehungswahn
Excl.:
paranoid:
  • personality disorder (F60.0)
  • psychosis, psychogenic (F23.3)
  • reaction (F23.3)
  • schizophrenia (F20.0)
F22.8 Other persistent delusional disorders
Definition

Disorders in which the delusion or delusions are accompanied by persistent hallucinatory voices or by schizophrenic symptoms that do not justify a diagnosis of schizophrenia (F20.-).

Incl.:
Delusional dysmorphophobia
Involutional paranoid state
Paranoia querulans
F22.9 Persistent delusional disorder, unspecified

F23 Acute and transient psychotic disorders

Definition

A heterogeneous group of disorders characterized by the acute onset of psychotic symptoms such as delusions, hallucinations, and perceptual disturbances, and by the severe disruption of ordinary behaviour. Acute onset is defined as a crescendo development of a clearly abnormal clinical picture in about two weeks or less. For these disorders there is no evidence of organic causation. Perplexity and puzzlement are often present but disorientation for time, place and person is not persistent or severe enough to justify a diagnosis of organically caused delirium (F05.-). Complete recovery usually occurs within a few months, often within a few weeks or even days. If the disorder persists, a change in classification will be necessary. The disorder may or may not be associated with acute stress, defined as usually stressful events preceding the onset by one to two weeks.

F23.0 Acute polymorphic psychotic disorder without symptoms of schizophrenia
Definition

An acute psychotic disorder in which hallucinations, delusions or perceptual disturbances are obvious but markedly variable, changing from day to day or even from hour to hour. Emotional turmoil with intense transient feelings of happiness or ecstasy, or anxiety and irritability, is also frequently present. The polymorphism and instability are characteristic for the overall clinical picture and the psychotic features do not justify a diagnosis of schizophrenia (F20.-). These disorders often have an abrupt onset, developing rapidly within a few days, and they frequently show a rapid resolution of symptoms with no recurrence. If the symptoms persist the diagnosis should be changed to persistent delusional disorder (F22.-).

Incl.:
Bouffée délirante without symptoms of schizophrenia or unspecified
Cycloid psychosis without symptoms of schizophrenia or unspecified
F23.1 Acute polymorphic psychotic disorder with symptoms of schizophrenia
Definition

An acute psychotic disorder in which the polymorphic and unstable clinical picture is present, as described in F23.0; despite this instability, however, some symptoms typical of schizophrenia are also in evidence for the majority of the time. If the schizophrenic symptoms persist the diagnosis should be changed to schizophrenia (F20.-).

Incl.:
Bouffée délirante with symptoms of schizophrenia
Cycloid psychosis with symptoms of schizophrenia
F23.2 Acute schizophrenia-like psychotic disorder
Definition

An acute psychotic disorder in which the psychotic symptoms are comparatively stable and justify a diagnosis of schizophrenia, but have lasted for less than about one month; the polymorphic unstable features, as described in F23.0, are absent. If the schizophrenic symptoms persist the diagnosis should be changed to schizophrenia (F20.-).

Incl.:
Acute (undifferentiated) schizophrenia
Brief schizophreniform:
  • disorder
  • psychosis
Oneirophrenia
Schizophrenic reaction
Excl.:
organic delusional [schizophrenia-like] disorder (F06.2)
schizophreniform disorders NOS (F20.8)
F23.3 Other acute predominantly delusional psychotic disorders
Definition

Acute psychotic disorders in which comparatively stable delusions or hallucinations are the main clinical features, but do not justify a diagnosis of schizophrenia (F20.-). If the delusions persist the diagnosis should be changed to persistent delusional disorder (F22.-).

Incl.:
Paranoid reaction
Psychogenic paranoid psychosis
F23.8 Other acute and transient psychotic disorders
Definition

Any other specified acute psychotic disorders for which there is no evidence of organic causation and which do not justify classification to F23.0-F23.3.

F23.9 Acute and transient psychotic disorder, unspecified
Incl.:
Brief reactive psychosis NOS
Reactive psychosis

F24 Induced delusional disorder

Definition

A delusional disorder shared by two or more people with close emotional links. Only one of the people suffers from a genuine psychotic disorder; the delusions are induced in the other(s) and usually disappear when the people are separated.

Incl.:
Folie à deux
Induced:
  • paranoid disorder
  • psychotic disorder

F25 Schizoaffective disorders

Definition

Episodic disorders in which both affective and schizophrenic symptoms are prominent but which do not justify a diagnosis of either schizophrenia or depressive or manic episodes. Other conditions in which affective symptoms are superimposed on a pre-existing schizophrenic illness, or co-exist or alternate with persistent delusional disorders of other kinds, are classified under F20-F29. Mood-incongruent psychotic symptoms in affective disorders do not justify a diagnosis of schizoaffective disorder.

F25.0 Schizoaffective disorder, manic type
Definition

A disorder in which both schizophrenic and manic symptoms are prominent so that the episode of illness does not justify a diagnosis of either schizophrenia or a manic episode. This category should be used for both a single episode and a recurrent disorder in which the majority of episodes are schizoaffective, manic type.

Incl.:
Schizoaffective psychosis, manic type
Schizophreniform psychosis, manic type
F25.1 Schizoaffective disorder, depressive type
Definition

A disorder in which both schizophrenic and depressive symptoms are prominent so that the episode of illness does not justify a diagnosis of either schizophrenia or a depressive episode. This category should be used for both a single episode and a recurrent disorder in which the majority of episodes are schizoaffective, depressive type.

Incl.:
Schizoaffective psychosis, depressive type
Schizophreniform psychosis, depressive type
F25.2 Schizoaffective disorder, mixed type
Incl.:
Cyclic schizophrenia
Mixed schizophrenic and affective psychosis
F25.8 Other schizoaffective disorders
F25.9 Schizoaffective disorder, unspecified
Incl.:
Schizoaffective psychosis NOS

F28 Other nonorganic psychotic disorders

Definition

Delusional or hallucinatory disorders that do not justify a diagnosis of schizophrenia (F20.-), persistent delusional disorders (F22.-), acute and transient psychotic disorders (F23.-), psychotic types of manic episode (F30.2), or severe depressive episode (F32.3).

Incl.:
Chronic hallucinatory psychosis

F29 Unspecified nonorganic psychosis

Incl.:
Psychosis NOS
Excl.:
mental disorder NOS (F99)
organic or symptomatic psychosis NOS (F09)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter V
Mental and behavioural disorders
(F00-F99)

Mood [affective] disorders
(F30-F39)

Definition

This block contains disorders in which the fundamental disturbance is a change in affect or mood to depression (with or without associated anxiety) or to elation. The mood change is usually accompanied by a change in the overall level of activity; most of the other symptoms are either secondary to, or easily understood in the context of, the change in mood and activity. Most of these disorders tend to be recurrent and the onset of individual episodes can often be related to stressful events or situations.

F30 Manic episode

Definition

All the subdivisions of this category should be used only for a single episode. Hypomanic or manic episodes in individuals who have had one or more previous affective episodes (depressive, hypomanic, manic, or mixed) should be coded as bipolar affective disorder (F31.-).

Incl.:
bipolar disorder, single manic episode
F30.0 Hypomania
Definition

A disorder characterized by a persistent mild elevation of mood, increased energy and activity, and usually marked feelings of well-being and both physical and mental efficiency. Increased sociability, talkativeness, over-familiarity, increased sexual energy, and a decreased need for sleep are often present but not to the extent that they lead to severe disruption of work or result in social rejection. Irritability, conceit, and boorish behaviour may take the place of the more usual euphoric sociability. The disturbances of mood and behaviour are not accompanied by hallucinations or delusions.

F30.1 Mania without psychotic symptoms
Definition

Mood is elevated out of keeping with the patient's circumstances and may vary from carefree joviality to almost uncontrollable excitement. Elation is accompanied by increased energy, resulting in overactivity, pressure of speech, and a decreased need for sleep. Attention cannot be sustained, and there is often marked distractibility. Self-esteem is often inflated with grandiose ideas and overconfidence. Loss of normal social inhibitions may result in behaviour that is reckless, foolhardy, or inappropriate to the circumstances, and out of character.

F30.2 Mania with psychotic symptoms
Definition

In addition to the clinical picture described in F30.1, delusions (usually grandiose) or hallucinations (usually of voices speaking directly to the patient) are present, or the excitement, excessive motor activity, and flight of ideas are so extreme that the subject is incomprehensible or inaccessible to ordinary communication.

Incl.:
Mania with:
  • mood-congruent psychotic symptoms
  • mood-incongruent psychotic symptoms
Manic stupor
F30.8 Other manic episodes
F30.9 Manic episode, unspecified
Incl.:
Mania NOS

F31 Bipolar affective disorder

Definition

A disorder characterized by two or more episodes in which the patient's mood and activity levels are significantly disturbed, this disturbance consisting on some occasions of an elevation of mood and increased energy and activity (hypomania or mania) and on others of a lowering of mood and decreased energy and activity (depression). Repeated episodes of hypomania or mania only are classified as bipolar.

Incl.:
manic depression
manic-depressive:
  • illness
  • psychosis
  • reaction
Excl.:
bipolar disorder, single manic episode (F30.-)
cyclothymia (F34.0)
F31.0 Bipolar affective disorder, current episode hypomanic
Definition

The patient is currently hypomanic, and has had at least one other affective episode (hypomanic, manic, depressive, or mixed) in the past.

F31.1 Bipolar affective disorder, current episode manic without psychotic symptoms
Definition

The patient is currently manic, without psychotic symptoms (as in F30.1), and has had at least one other affective episode (hypomanic, manic, depressive, or mixed) in the past.

F31.2 Bipolar affective disorder, current episode manic with psychotic symptoms
Definition

The patient is currently manic, with psychotic symptoms (as in F30.2), and has had at least one other affective episode (hypomanic, manic, depressive, or mixed) in the past.

F31.3 Bipolar affective disorder, current episode mild or moderate depression
Definition

The patient is currently depressed, as in a depressive episode of either mild or moderate severity (F32.0 or F32.1), and has had at least one authenticated hypomanic, manic, or mixed affective episode in the past.

F31.4 Bipolar affective disorder, current episode severe depression without psychotic symptoms
Definition

The patient is currently depressed, as in severe depressive episode without psychotic symptoms (F32.2), and has had at least one authenticated hypomanic, manic, or mixed affective episode in the past.

F31.5 Bipolar affective disorder, current episode severe depression with psychotic symptoms
Definition

The patient is currently depressed, as in severe depressive episode with psychotic symptoms (F32.3), and has had at least one authenticated hypomanic, manic, or mixed affective episode in the past.

F31.6 Bipolar affective disorder, current episode mixed
Definition

The patient has had at least one authenticated hypomanic, manic, depressive, or mixed affective episode in the past, and currently exhibits either a mixture or a rapid alteration of manic and depressive symptoms.

Excl.:
single mixed affective episode (F38.0)
F31.7 Bipolar affective disorder, currently in remission
Definition

The patient has had at least one authenticated hypomanic, manic, or mixed affective episode in the past, and at least one other affective episode (hypomanic, manic, depressive, or mixed) in addition, but is not currently suffering from any significant mood disturbance, and has not done so for several months. Periods of remission during prophylactic treatment should be coded here.

F31.8 Other bipolar affective disorders
Incl.:
Bipolar II disorder
Recurrent manic episodes NOS
F31.9 Bipolar affective disorder, unspecified
Incl.:
Manic depression NOS

F32 Depressive episode

Definition

In typical mild, moderate, or severe depressive episodes, the patient suffers from lowering of mood, reduction of energy, and decrease in activity. Capacity for enjoyment, interest, and concentration is reduced, and marked tiredness after even minimum effort is common. Sleep is usually disturbed and appetite diminished. Self-esteem and self-confidence are almost always reduced and, even in the mild form, some ideas of guilt or worthlessness are often present. The lowered mood varies little from day to day, is unresponsive to circumstances and may be accompanied by so-called "somatic" symptoms, such as loss of interest and pleasurable feelings, waking in the morning several hours before the usual time, depression worst in the morning, marked psychomotor retardation, agitation, loss of appetite, weight loss, and loss of libido. Depending upon the number and severity of the symptoms, a depressive episode may be specified as mild, moderate or severe.

Incl.:
single episodes of:
  • depressive reaction
  • psychogenic depression
  • reactive depression
Excl.:
adjustment disorder (F43.2)
recurrent depressive disorder (F33.-)
when associated with conduct disorders in F91.- (F92.0)
F32.0 Mild depressive episode
Definition

Two or three of the above symptoms are usually present. The patient is usually distressed by these but will probably be able to continue with most activities.

F32.1 Moderate depressive episode
Definition

Four or more of the above symptoms are usually present and the patient is likely to have great difficulty in continuing with ordinary activities.

F32.2 Severe depressive episode without psychotic symptoms
Definition

An episode of depression in which several of the above symptoms are marked and distressing, typically loss of self-esteem and ideas of worthlessness or guilt. Suicidal thoughts and acts are common and a number of "somatic" symptoms are usually present.

Incl.:
  • Agitated depression
  • Major depression
  • Vital depression
  • single episode without psychotic symptoms
F32.3 Severe depressive episode with psychotic symptoms
Definition

An episode of depression as described in F32.2, but with the presence of hallucinations, delusions, psychomotor retardation, or stupor so severe that ordinary social activities are impossible; there may be danger to life from suicide, dehydration, or starvation. The hallucinations and delusions may or may not be mood-congruent.

Incl.:
Single episodes of:
  • major depression with psychotic symptoms
  • psychogenic depressive psychosis
  • psychotic depression
  • reactive depressive psychosis
F32.8 Other depressive episodes
Incl.:
Atypical depression
Single episodes of "masked" depression NOS
F32.9 Depressive episode, unspecified
Incl.:
Depression NOS
Depressive disorder NOS

F33 Recurrent depressive disorder

Definition

A disorder characterized by repeated episodes of depression as described for depressive episode (F32.-), without any history of independent episodes of mood elevation and increased energy (mania). There may, however, be brief episodes of mild mood elevation and overactivity (hypomania) immediately after a depressive episode, sometimes precipitated by antidepressant treatment. The more severe forms of recurrent depressive disorder (F33.2 and F33.3) have much in common with earlier concepts such as manic-depressive depression, melancholia, vital depression and endogenous depression. The first episode may occur at any age from childhood to old age, the onset may be either acute or insidious, and the duration varies from a few weeks to many months. The risk that a patient with recurrent depressive disorder will have an episode of mania never disappears completely, however many depressive episodes have been experienced. If such an episode does occur, the diagnosis should be changed to bipolar affective disorder (F31.-).

Incl.:
recurrent episodes of:
  • depressive reaction
  • psychogenic depression
  • reactive depression
seasonal depressive disorder
Excl.:
recurrent brief depressive episodes (F38.1)
F33.0 Recurrent depressive disorder, current episode mild
Definition

A disorder characterized by repeated episodes of depression, the current episode being mild, as in F32.0, and without any history of mania.

F33.1 Recurrent depressive disorder, current episode moderate
Definition

A disorder characterized by repeated episodes of depression, the current episode being of moderate severity, as in F32.1, and without any history of mania.

F33.2 Recurrent depressive disorder, current episode severe without psychotic symptoms
Definition

A disorder characterized by repeated episodes of depression, the current episode being severe without psychotic symptoms, as in F32.2, and without any history of mania.

Incl.:
Endogenous depression without psychotic symptoms
Major depression, recurrent without psychotic symptoms
Manic-depressive psychosis, depressed type without psychotic symptoms
Vital depression, recurrent without psychotic symptoms
F33.3 Recurrent depressive disorder, current episode severe with psychotic symptoms
Definition

A disorder characterized by repeated episodes of depression, the current episode being severe with psychotic symptoms, as in F32.3, and with no previous episodes of mania.

Incl.:
Endogenous depression with psychotic symptoms
Manic-depressive psychosis, depressed type with psychotic symptoms
Recurrent severe episodes of:
  • major depression with psychotic symptoms
  • psychogenic depressive psychosis
  • psychotic depression
  • reactive depressive psychosis
F33.4 Recurrent depressive disorder, currently in remission
Definition

The patient has had two or more depressive episodes as described in F33.0-F33.3, in the past, but has been free from depressive symptoms for several months.

F33.8 Other recurrent depressive disorders
F33.9 Recurrent depressive disorder, unspecified
Incl.:
Monopolar depression NOS

F34 Persistent mood [affective] disorders

Definition

Persistent and usually fluctuating disorders of mood in which the majority of the individual episodes are not sufficiently severe to warrant being described as hypomanic or mild depressive episodes. Because they last for many years, and sometimes for the greater part of the patient's adult life, they involve considerable distress and disability. In some instances, recurrent or single manic or depressive episodes may become superimposed on a persistent affective disorder.

F34.0 Cyclothymia
Definition

A persistent instability of mood involving numerous periods of depression and mild elation, none of which is sufficiently severe or prolonged to justify a diagnosis of bipolar affective disorder (F31.-) or recurrent depressive disorder (F33.-). This disorder is frequently found in the relatives of patients with bipolar affective disorder. Some patients with cyclothymia eventually develop bipolar affective disorder.

Incl.:
Affective personality disorder
Cycloid personality
Cyclothymic personality
F34.1 Dysthymia
Definition

A chronic depression of mood, lasting at least several years, which is not sufficiently severe, or in which individual episodes are not sufficiently prolonged, to justify a diagnosis of severe, moderate, or mild recurrent depressive disorder (F33.-).

Incl.:
Depressive:
  • neurosis
  • personality disorder
Neurotic depression
Persistent anxiety depression
Excl.:
anxiety depression (mild or not persistent) (F41.2)
F34.8 Other persistent mood [affective] disorders
F34.9 Persistent mood [affective] disorder, unspecified

F38 Other mood [affective] disorders

Definition

Any other mood disorders that do not justify classification to F30-F34, because they are not of sufficient severity or duration.

F38.0 Other single mood [affective] disorders
Incl.:
Mixed affective episode
F38.1 Other recurrent mood [affective] disorders
Incl.:
Recurrent brief depressive episodes
F38.8 Other specified mood [affective] disorders

F39 Unspecified mood [affective] disorder

Incl.:
Affective psychosis NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter V
Mental and behavioural disorders
(F00-F99)

Neurotic, stress-related and somatoform disorders
(F40-F48)

Excl.:
when associated with conduct disorder in F91.- (F92.8)

F40 Phobic anxiety disorders

Definition

A group of disorders in which anxiety is evoked only, or predominantly, in certain well-defined situations that are not currently dangerous. As a result these situations are characteristically avoided or endured with dread. The patient's concern may be focused on individual symptoms like palpitations or feeling faint and is often associated with secondary fears of dying, losing control, or going mad. Contemplating entry to the phobic situation usually generates anticipatory anxiety. Phobic anxiety and depression often coexist. Whether two diagnoses, phobic anxiety and depressive episode, are needed, or only one, is determined by the time course of the two conditions and by therapeutic considerations at the time of consultation.

F40.0 Agoraphobia
Definition

A fairly well-defined cluster of phobias embracing fears of leaving home, entering shops, crowds and public places, or travelling alone in trains, buses or planes. Panic disorder is a frequent feature of both present and past episodes. Depressive and obsessional symptoms and social phobias are also commonly present as subsidiary features. Avoidance of the phobic situation is often prominent, and some agoraphobics experience little anxiety because they are able to avoid their phobic situations.

Incl.:
Agoraphobia without history of panic disorder
Panic disorder with agoraphobia
F40.1 Social phobias
Definition

Fear of scrutiny by other people leading to avoidance of social situations. More pervasive social phobias are usually associated with low self-esteem and fear of criticism. They may present as a complaint of blushing, hand tremor, nausea, or urgency of micturition, the patient sometimes being convinced that one of these secondary manifestations of their anxiety is the primary problem. Symptoms may progress to panic attacks.

Incl.:
Anthropophobia
Social neurosis
F40.2 Specific (isolated) phobias
Definition

Phobias restricted to highly specific situations such as proximity to particular animals, heights, thunder, darkness, flying, closed spaces, urinating or defecating in public toilets, eating certain foods, dentistry, or the sight of blood or injury. Though the triggering situation is discrete, contact with it can evoke panic as in agoraphobia or social phobia.

Incl.:
Acrophobia
Animal phobias
Claustrophobia
Simple phobia
Excl.:
dysmorphophobia (nondelusional) (F45.2)
nosophobia (F45.2)
F40.8 Other phobic anxiety disorders
F40.9 Phobic anxiety disorder, unspecified
Incl.:
Phobia NOS
Phobic state NOS

F41 Other anxiety disorders

Definition

Disorders in which manifestation of anxiety is the major symptom and is not restricted to any particular environmental situation. Depressive and obsessional symptoms, and even some elements of phobic anxiety, may also be present, provided that they are clearly secondary or less severe.

F41.0 Panic disorder [episodic paroxysmal anxiety]
Definition

The essential feature is recurrent attacks of severe anxiety (panic), which are not restricted to any particular situation or set of circumstances and are therefore unpredictable. As with other anxiety disorders, the dominant symptoms include sudden onset of palpitations, chest pain, choking sensations, dizziness, and feelings of unreality (depersonalization or derealization). There is often also a secondary fear of dying, losing control, or going mad. Panic disorder should not be given as the main diagnosis if the patient has a depressive disorder at the time the attacks start; in these circumstances the panic attacks are probably secondary to depression.

Incl.:
Panic:
  • attack
  • state
Excl.:
panic disorder with agoraphobia (F40.0)
F41.1 Generalized anxiety disorder
Definition

Anxiety that is generalized and persistent but not restricted to, or even strongly predominating in, any particular environmental circumstances (i.e. it is "free-floating"). The dominant symptoms are variable but include complaints of persistent nervousness, trembling, muscular tensions, sweating, lightheadedness, palpitations, dizziness, and epigastric discomfort. Fears that the patient or a relative will shortly become ill or have an accident are often expressed.

Incl.:
Anxiety:
  • neurosis
  • reaction
  • state
Excl.:
neurasthenia (F48.0)
F41.2 Mixed anxiety and depressive disorder
Definition

This category should be used when symptoms of anxiety and depression are both present, but neither is clearly predominant, and neither type of symptom is present to the extent that justifies a diagnosis if considered separately. When both anxiety and depressive symptoms are present and severe enough to justify individual diagnoses, both diagnoses should be recorded and this category should not be used.

Incl.:
Anxiety depression (mild or not persistent)
F41.3 Other mixed anxiety disorders
Definition

Symptoms of anxiety mixed with features of other disorders in F42-F48. Neither type of symptom is severe enough to justify a diagnosis if considered separately.

F41.8 Other specified anxiety disorders
Incl.:
Anxiety hysteria
F41.9 Anxiety disorder, unspecified
Incl.:
Anxiety NOS

F42 Obsessive-compulsive disorder

Definition

The essential feature is recurrent obsessional thoughts or compulsive acts. Obsessional thoughts are ideas, images, or impulses that enter the patient's mind again and again in a stereotyped form. They are almost invariably distressing and the patient often tries, unsuccessfully, to resist them. They are, however, recognized as his or her own thoughts, even though they are involuntary and often repugnant. Compulsive acts or rituals are stereotyped behaviours that are repeated again and again. They are not inherently enjoyable, nor do they result in the completion of inherently useful tasks. Their function is to prevent some objectively unlikely event, often involving harm to or caused by the patient, which he or she fears might otherwise occur. Usually, this behaviour is recognized by the patient as pointless or ineffectual and repeated attempts are made to resist. Anxiety is almost invariably present. If compulsive acts are resisted the anxiety gets worse.

Incl.:
anankastic neurosis
obsessive-compulsive neurosis
Excl.:
obsessive-compulsive personality (disorder) (F60.5)
F42.0 Predominantly obsessional thoughts or ruminations
Definition

These may take the form of ideas, mental images, or impulses to act, which are nearly always distressing to the subject. Sometimes the ideas are an indecisive, endless consideration of alternatives, associated with an inability to make trivial but necessary decisions in day-to-day living. The relationship between obsessional ruminations and depression is particularly close and a diagnosis of obsessive-compulsive disorder should be preferred only if ruminations arise or persist in the absence of a depressive episode.

F42.1 Predominantly compulsive acts [obsessional rituals]
Definition

The majority of compulsive acts are concerned with cleaning (particularly handwashing), repeated checking to ensure that a potentially dangerous situation has not been allowed to develop, or orderliness and tidiness. Underlying the overt behaviour is a fear, usually of danger either to or caused by the patient, and the ritual is an ineffectual or symbolic attempt to avert that danger.

F42.2 Mixed obsessional thoughts and acts
F42.8 Other obsessive-compulsive disorders
F42.9 Obsessive-compulsive disorder, unspecified

F43 Reaction to severe stress, and adjustment disorders

Definition

This category differs from others in that it includes disorders identifiable on the basis of not only symptoms and course but also the existence of one or other of two causative influences: an exceptionally stressful life event producing an acute stress reaction, or a significant life change leading to continued unpleasant circumstances that result in an adjustment disorder. Although less severe psychosocial stress ("life events") may precipitate the onset or contribute to the presentation of a very wide range of disorders classified elsewhere in this chapter, its etiological importance is not always clear and in each case will be found to depend on individual, often idiosyncratic, vulnerability, i.e. the life events are neither necessary nor sufficient to explain the occurrence and form of the disorder. In contrast, the disorders brought together here are thought to arise always as a direct consequence of acute severe stress or continued trauma. The stressful events or the continuing unpleasant circumstances are the primary and overriding causal factor and the disorder would not have occurred without their impact. The disorders in this section can thus be regarded as maladaptive responses to severe or continued stress, in that they interfere with successful coping mechanisms and therefore lead to problems of social functioning.

F43.0 Acute stress reaction
Definition

A transient disorder that develops in an individual without any other apparent mental disorder in response to exceptional physical and mental stress and that usually subsides within hours or days. Individual vulnerability and coping capacity play a role in the occurrence and severity of acute stress reactions. The symptoms show a typically mixed and changing picture and include an initial state of "daze" with some constriction of the field of consciousness and narrowing of attention, inability to comprehend stimuli, and disorientation. This state may be followed either by further withdrawal from the surrounding situation (to the extent of a dissociative stupor - F44.2), or by agitation and over-activity (flight reaction or fugue). Autonomic signs of panic anxiety (tachycardia, sweating, flushing) are commonly present. The symptoms usually appear within minutes of the impact of the stressful stimulus or event, and disappear within two to three days (often within hours). Partial or complete amnesia (F44.0) for the episode may be present. If the symptoms persist, a change in diagnosis should be considered.

Incl.:
Acute:
  • crisis reaction
  • reaction to stress
Combat fatigue
Crisis state
Psychic shock
F43.1 Post-traumatic stress disorder
Definition

Arises as a delayed or protracted response to a stressful event or situation (of either brief or long duration) of an exceptionally threatening or catastrophic nature, which is likely to cause pervasive distress in almost anyone. Predisposing factors, such as personality traits (e.g. compulsive, asthenic) or previous history of neurotic illness, may lower the threshold for the development of the syndrome or aggravate its course, but they are neither necessary nor sufficient to explain its occurrence. Typical features include episodes of repeated reliving of the trauma in intrusive memories ("flashbacks"), dreams or nightmares, occurring against the persisting background of a sense of "numbness" and emotional blunting, detachment from other people, unresponsiveness to surroundings, anhedonia, and avoidance of activities and situations reminiscent of the trauma. There is usually a state of autonomic hyperarousal with hypervigilance, an enhanced startle reaction, and insomnia. Anxiety and depression are commonly associated with the above symptoms and signs, and suicidal ideation is not infrequent. The onset follows the trauma with a latency period that may range from a few weeks to months. The course is fluctuating but recovery can be expected in the majority of cases. In a small proportion of cases the condition may follow a chronic course over many years, with eventual transition to an enduring personality change (F62.0).

Incl.:
Traumatic neurosis
F43.2 Adjustment disorders
Definition

States of subjective distress and emotional disturbance, usually interfering with social functioning and performance, arising in the period of adaptation to a significant life change or a stressful life event. The stressor may have affected the integrity of an individual's social network (bereavement, separation experiences) or the wider system of social supports and values (migration, refugee status), or represented a major developmental transition or crisis (going to school, becoming a parent, failure to attain a cherished personal goal, retirement). Individual predisposition or vulnerability plays an important role in the risk of occurrence and the shaping of the manifestations of adjustment disorders, but it is nevertheless assumed that the condition would not have arisen without the stressor. The manifestations vary and include depressed mood, anxiety or worry (or mixture of these), a feeling of inability to cope, plan ahead, or continue in the present situation, as well as some degree of disability in 9the performance of daily routine. Conduct disorders may be an associated feature, particularly in adolescents. The predominant feature may be a brief or prolonged depressive reaction, or a disturbance of other emotions and conduct.

Incl.:
Culture shock
Grief reaction
Hospitalism in children
Excl.:
separation anxiety disorder of childhood (F93.0)
F43.8 Other reactions to severe stress
F43.9 Reaction to severe stress, unspecified

F44 Dissociative [conversion] disorders

Definition

The common themes that are shared by dissociative or conversion disorders are a partial or complete loss of the normal integration between memories of the past, awareness of identity and immediate sensations, and control of bodily movements. All types of dissociative disorders tend to remit after a few weeks or months, particularly if their onset is associated with a traumatic life event. More chronic disorders, particularly paralyses and anaesthesias, may develop if the onset is associated with insoluble problems or interpersonal difficulties. These disorders have previously been classified as various types of "conversion hysteria". They are presumed to be psychogenic in origin, being associated closely in time with traumatic events, insoluble and intolerable problems, or disturbed relationships. The symptoms often represent the patient's concept of how a physical illness would be manifest. Medical examination and investigation do not reveal the presence of any known physical or neurological disorder. In addition, there is evidence that the loss of function is an expression of emotional conflicts or needs. The symptoms may develop in close relationship to psychological stress, and often appear suddenly. Only disorders of physical functions normally under voluntary control and loss of sensations are included here. Disorders involving pain and other complex physical sensations mediated by the autonomic nervous system are classified under somatization disorder (F45.0). The possibility of the later appearance of serious physical or psychiatric disorders should always be kept in mind.

Incl.:
conversion:
  • hysteria
  • reaction
hysteria
hysterical psychosis
Excl.:
malingering [conscious simulation] (Z76.5)
F44.0 Dissociative amnesia
Definition

The main feature is loss of memory, usually of important recent events, that is not due to organic mental disorder, and is too great to be explained by ordinary forgetfulness or fatigue. The amnesia is usually centred on traumatic events, such as accidents or unexpected bereavements, and is usually partial and selective. Complete and generalized amnesia is rare, and is usually part of a fugue (F44.1). If this is the case, the disorder should be classified as such. The diagnosis should not be made in the presence of organic brain disorders, intoxication, or excessive fatigue.

Excl.:
alcohol- or other psychoactive substance-induced amnesic disorder (F10-F19 with common fourth character .6)
amnesia:
nonalcoholic organic amnesic syndrome (F04)
postictal amnesia in epilepsy (G40.-)
F44.1 Dissociative fugue
Definition

Dissociative fugue has all the features of dissociative amnesia, plus purposeful travel beyond the usual everyday range. Although there is amnesia for the period of the fugue, the patient's behaviour during this time may appear completely normal to independent observers.

Excl.:
postictal fugue in epilepsy (G40.-)
F44.2 Dissociative stupor
Definition

Dissociative stupor is diagnosed on the basis of a profound diminution or absence of voluntary movement and normal responsiveness to external stimuli such as light, noise, and touch, but examination and investigation reveal no evidence of a physical cause. In addition, there is positive evidence of psychogenic causation in the form of recent stressful events or problems.

Excl.:
organic catatonic disorder (F06.1)
stupor:
F44.3 Trance and possession disorders
Definition

Disorders in which there is a temporary loss of the sense of personal identity and full awareness of the surroundings. Include here only trance states that are involuntary or unwanted, occurring outside religious or culturally accepted situations.

Excl.:
states associated with:
F44.4 Dissociative motor disorders
Definition

In the commonest varieties there is loss of ability to move the whole or a part of a limb or limbs. There may be close resemblance to almost any variety of ataxia, apraxia, akinesia, aphonia, dysarthria, dyskinesia, seizures, or paralysis.

Incl.:
Psychogenic:
  • aphonia
  • dysphonia
F44.5 Dissociative convulsions
Definition

Dissociative convulsions may mimic epileptic seizures very closely in terms of movements, but tongue-biting, bruising due to falling, and incontinence of urine are rare, and consciousness is maintained or replaced by a state of stupor or trance.

F44.6 Dissociative anaesthesia and sensory loss
Definition

Anaesthetic areas of skin often have boundaries that make it clear that they are associated with the patient's ideas about bodily functions, rather than medical knowledge. There may be differential loss between the sensory modalities which cannot be due to a neurological lesion. Sensory loss may be accompanied by complaints of paraesthesia. Loss of vision and hearing are rarely total in dissociative disorders.

Incl.:
Psychogenic deafness
F44.7 Mixed dissociative [conversion] disorders
Incl.:
Combination of disorders specified in F44.0-F44.6
F44.8 Other dissociative [conversion] disorders
Incl.:
Ganser syndrome
Multiple personality
Psychogenic:
  • confusion
  • twilight state
F44.9 Dissociative [conversion] disorder, unspecified

F45 Somatoform disorders

Definition

The main feature is repeated presentation of physical symptoms together with persistent requests for medical investigations, in spite of repeated negative findings and reassurances by doctors that the symptoms have no physical basis. If any physical disorders are present, they do not explain the nature and extent of the symptoms or the distress and preoccupation of the patient.

Excl.:
dissociative disorders (F44.-)
hair-plucking (F98.4)
lalling (F80.0)
lisping (F80.8)
nail-biting (F98.8)
psychological or behavioural factors associated with disorders or diseases classified elsewhere (F54)
sexual dysfunction, not caused by organic disorder or disease (F52.-)
thumb-sucking (F98.8)
tic disorders (in childhood and adolescence) (F95.-)
Tourette syndrome (F95.2)
trichotillomania (F63.3)
F45.0 Somatization disorder
Definition

The main features are multiple, recurrent and frequently changing physical symptoms of at least two years duration. Most patients have a long and complicated history of contact with both primary and specialist medical care services, during which many negative investigations or fruitless exploratory operations may have been carried out. Symptoms may be referred to any part or system of the body. The course of the disorder is chronic and fluctuating, and is often associated with disruption of social, interpersonal, and family behaviour. Short-lived (less than two years) and less striking symptom patterns should be classified under undifferentiated somatoform disorder (F45.1).

Incl.:
Briquet disorder
Multiple psychosomatic disorder
Excl.:
malingering [conscious simulation] (Z76.5)
F45.1 Undifferentiated somatoform disorder
Definition

When somatoform complaints are multiple, varying and persistent, but the complete and typical clinical picture of somatization disorder is not fulfilled, the diagnosis of undifferentiated somatoform disorder should be considered.

Incl.:
Undifferentiated psychosomatic disorder
F45.2 Hypochondriacal disorder
Definition

The essential feature is a persistent preoccupation with the possibility of having one or more serious and progressive physical disorders. Patients manifest persistent somatic complaints or a persistent preoccupation with their physical appearance. Normal or commonplace sensations and appearances are often interpreted by patients as abnormal and distressing, and attention is usually focused upon only one or two organs or systems of the body. Marked depression and anxiety are often present, and may justify additional diagnoses.

Incl.:
Body dysmorphic disorder
Dysmorphophobia (nondelusional)
Hypochondriacal neurosis
Hypochondriasis
Nosophobia
Excl.:
delusional dysmorphophobia (F22.8)
fixed delusions about bodily functions or shape (F22.-)
F45.3 Somatoform autonomic dysfunction
Definition

Symptoms are presented by the patient as if they were due to a physical disorder of a system or organ that is largely or completely under autonomic innervation and control, i.e. the cardiovascular, gastrointestinal, respiratory and urogenital systems. The symptoms are usually of two types, neither of which indicates a physical disorder of the organ or system concerned. First, there are complaints based upon objective signs of autonomic arousal, such as palpitations, sweating, flushing, tremor, and expression of fear and distress about the possibility of a physical disorder. Second, there are subjective complaints of a nonspecific or changing nature such as fleeting aches and pains, sensations of burning, heaviness, tightness, and feelings of being bloated or distended, which are referred by the patient to a specific organ or system.

Incl.:
Cardiac neurosis
Da Costa syndrome
Gastric neurosis
Neurocirculatory asthenia
Psychogenic forms of:
  • aerophagy
  • cough
  • diarrhoea
  • dyspepsia
  • dysuria
  • flatulence
  • hiccough
  • hyperventilation
  • increased frequency of micturition
  • irritable bowel syndrome
  • pylorospasm
Excl.:
psychological and behavioural factors associated with disorders or diseases classified elsewhere (F54)
F45.4 Persistent somatoform pain disorder
Definition

The predominant complaint is of persistent, severe, and distressing pain, which cannot be explained fully by a physiological process or a physical disorder, and which occurs in association with emotional conflict or psychosocial problems that are sufficient to allow the conclusion that they are the main causative influences. The result is usually a marked increase in support and attention, either personal or medical. Pain presumed to be of psychogenic origin occurring during the course of depressive disorders or schizophrenia should not be included here.

Incl.:
Psychalgia
Psychogenic:
  • backache
  • headache
Somatoform pain disorder
Excl.:
backache NOS (M54.9)
pain:
tension headache (G44.2)
F45.8 Other somatoform disorders
Definition

Any other disorders of sensation, function and behaviour, not due to physical disorders, which are not mediated through the autonomic nervous system, which are limited to specific systems or parts of the body, and which are closely associated in time with stressful events or problems.

Incl.:
Psychogenic:
  • dysmenorrhoea
  • dysphagia, including "globus hystericus"
  • pruritus
  • torticollis
Teeth-grinding
F45.9 Somatoform disorder, unspecified
Incl.:
Psychosomatic disorder NOS

F48 Other neurotic disorders

F48.0 Neurasthenia
Definition

Considerable cultural variations occur in the presentation of this disorder, and two main types occur, with substantial overlap. In one type, the main feature is a complaint of increased fatigue after mental effort, often associated with some decrease in occupational performance or coping efficiency in daily tasks. The mental fatiguability is typically described as an unpleasant intrusion of distracting associations or recollections, difficulty in concentrating, and generally inefficient thinking. In the other type, the emphasis is on feelings of bodily or physical weakness and exhaustion after only minimal effort, accompanied by a feeling of muscular aches and pains and inability to relax. In both types a variety of other unpleasant physical feelings is common, such as dizziness, tension headaches, and feelings of general instability. Worry about decreasing mental and bodily well-being, irritability, anhedonia, and varying minor degrees of both depression and anxiety are all common. Sleep is often disturbed in its initial and middle phases but hypersomnia may also be prominent.

Incl.:
Fatigue syndrome
Coding-Hint
Use additional code, if desired, to identify previous physical illness.
Excl.:
asthenia NOS (R53)
burn-out (Z73.0)
malaise and fatigue (R53)
postviral fatigue syndrome (G93.3)
psychasthenia (F48.8)
F48.1 Depersonalization-derealization syndrome
Definition

A rare disorder in which the patient complains spontaneously that his or her mental activity, body, and surroundings are changed in their quality, so as to be unreal, remote, or automatized. Among the varied phenomena of the syndrome, patients complain most frequently of loss of emotions and feelings of estrangement or detachment from their thinking, their body, or the real world. In spite of the dramatic nature of the experience, the patient is aware of the unreality of the change. The sensorium is normal and the capacity for emotional expression intact. Depersonalization-derealization symptoms may occur as part of a diagnosable schizophrenic, depressive, phobic, or obsessive-compulsive disorder. In such cases the diagnosis should be that of the main disorder.

F48.8 Other specified neurotic disorders
Incl.:
Dhat syndrome
Occupational neurosis, including writer cramp
Psychasthenia
Psychasthenic neurosis
Psychogenic syncope
F48.9 Neurotic disorder, unspecified
Incl.:
Neurosis NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter V
Mental and behavioural disorders
(F00-F99)

F50 Eating disorders

Excl.:
anorexia NOS (R63.0)
feeding:
  • difficulties and mismanagement (R63.3)
  • disorder of infancy or childhood (F98.2)
polyphagia (R63.2)
F50.0 Anorexia nervosa
Definition

A disorder characterized by deliberate weight loss, induced and sustained by the patient. It occurs most commonly in adolescent girls and young women, but adolescent boys and young men may also be affected, as may children approaching puberty and older women up to the menopause. The disorder is associated with a specific psychopathology whereby a dread of fatness and flabbiness of body contour persists as an intrusive overvalued idea, and the patients impose a low weight threshold on themselves. There is usually undernutrition of varying severity with secondary endocrine and metabolic changes and disturbances of bodily function. The symptoms include restricted dietary choice, excessive exercise, induced vomiting and purgation, and use of appetite suppressants and diuretics.

Excl.:
loss of appetite (R63.0)
loss of appetite
F50.1 Atypical anorexia nervosa
Definition

Disorders that fulfil some of the features of anorexia nervosa but in which the overall clinical picture does not justify that diagnosis. For instance, one of the key symptoms, such as amenorrhoea or marked dread of being fat, may be absent in the presence of marked weight loss and weight-reducing behaviour. This diagnosis should not be made in the presence of known physical disorders associated with weight loss.

F50.2 Bulimia nervosa
Definition

A syndrome characterized by repeated bouts of overeating and an excessive preoccupation with the control of body weight, leading to a pattern of overeating followed by vomiting or use of purgatives. This disorder shares many psychological features with anorexia nervosa, including an overconcern with body shape and weight. Repeated vomiting is likely to give rise to disturbances of body electrolytes and physical complications. There is often, but not always, a history of an earlier episode of anorexia nervosa, the interval ranging from a few months to several years.

Incl.:
Bulimia NOS
Hyperorexia nervosa
F50.3 Atypical bulimia nervosa
Definition

Disorders that fulfil some of the features of bulimia nervosa, but in which the overall clinical picture does not justify that diagnosis. For instance, there may be recurrent bouts of overeating and overuse of purgatives without significant weight change, or the typical overconcern about body shape and weight may be absent.

F50.4 Overeating associated with other psychological disturbances
Definition

Overeating due to stressful events, such as bereavement, accident, childbirth, etc.

Incl.:
Psychogenic overeating
Excl.:
obesity (E66.-)
F50.5 Vomiting associated with other psychological disturbances
Definition

Repeated vomiting that occurs in dissociative disorders (F44.-) and hypochondriacal disorder (F45.2), and that is not solely due to conditions classified outside this chapter. This subcategory may also be used in addition to O21.- (excessive vomiting in pregnancy) when emotional factors are predominant in the causation of recurrent nausea and vomiting in pregnancy.

Incl.:
Psychogenic vomiting
Excl.:
nausea (R11)
vomiting NOS (R11)
F50.8 Other eating disorders
Incl.:
Pica in adults
Psychogenic loss of appetite
Excl.:
pica of infancy and childhood (F98.3)
F50.9 Eating disorder, unspecified

F51 Nonorganic sleep disorders

Definition

In many cases, a disturbance of sleep is one of the symptoms of another disorder, either mental or physical. Whether a sleep disorder in a given patient is an independent condition or simply one of the features of another disorder classified elsewhere, either in this chapter or in others, should be determined on the basis of its clinical presentation and course as well as on the therapeutic considerations and priorities at the time of the consultation. Generally, if the sleep disorder is one of the major complaints and is perceived as a condition in itself, the present code should be used along with other pertinent diagnoses describing the psychopathology and pathophysiology involved in a given case. This category includes only those sleep disorders in which emotional causes are considered to be a primary factor, and which are not due to identifiable physical disorders classified elsewhere.

Excl.:
sleep disorders (organic) (G47.-)
F51.0 Nonorganic insomnia
Definition

A condition of unsatisfactory quantity and/or quality of sleep, which persists for a considerable period of time, including difficulty falling asleep, difficulty staying asleep, or early final wakening. Insomnia is a common symptom of many mental and physical disorders, and should be classified here in addition to the basic disorder only if it dominates the clinical picture.

Excl.:
insomnia (organic) (G47.0)
F51.1 Nonorganic hypersomnia
Definition

Hypersomnia is defined as a condition of either excessive daytime sleepiness and sleep attacks (not accounted for by an inadequate amount of sleep) or prolonged transition to the fully aroused state upon awakening. In the absence of an organic factor for the occurrence of hypersomnia, this condition is usually associated with mental disorders.

Excl.:
hypersomnia (organic) (G47.1)
narcolepsy (G47.4)
F51.2 Nonorganic disorder of the sleep-wake schedule
Definition

A lack of synchrony between the sleep-wake schedule and the desired sleep-wake schedule for the individual's environment, resulting in a complaint of either insomnia or hypersomnia.

Incl.:
  • Psychogenic inversion of:
    • circadian
    • nyctohemeral
    • sleep
  • rhythm
Excl.:
disorders of the sleep-wake schedule (organic) (G47.2)
F51.3 Sleepwalking [somnambulism]
Definition

A state of altered consciousness in which phenomena of sleep and wakefulness are combined. During a sleepwalking episode the individual arises from bed, usually during the first third of nocturnal sleep, and walks about, exhibiting low levels of awareness, reactivity, and motor skill. Upon awakening, there is usually no recall of the event.

F51.4 Sleep terrors [night terrors]
Definition

Nocturnal episodes of extreme terror and panic associated with intense vocalization, motility, and high levels of autonomic discharge. The individual sits up or gets up, usually during the first third of nocturnal sleep, with a panicky scream. Quite often he or she rushes to the door as if trying to escape, although very seldom leaves the room. Recall of the event, if any, is very limited (usually to one or two fragmentary mental images).

F51.5 Nightmares
Definition

Dream experiences loaded with anxiety or fear. There is very detailed recall of the dream content. The dream experience is very vivid and usually includes themes involving threats to survival, security, or self-esteem. Quite often there is a recurrence of the same or similar frightening nightmare themes. During a typical episode there is a degree of autonomic discharge but no appreciable vocalization or body motility. Upon awakening the individual rapidly becomes alert and oriented.

Incl.:
Dream anxiety disorder
F51.8 Other nonorganic sleep disorders
F51.9 Nonorganic sleep disorder, unspecified
Incl.:
Emotional sleep disorder NOS

F52 Sexual dysfunction, not caused by organic disorder or disease

Definition

Sexual dysfunction covers the various ways in which an individual is unable to participate in a sexual relationship as he or she would wish. Sexual response is a psychosomatic process and both psychological and somatic processes are usually involved in the causation of sexual dysfunction.

Excl.:
Dhat syndrome (F48.8)
F52.0 Lack or loss of sexual desire
Definition

Loss of sexual desire is the principal problem and is not secondary to other sexual difficulties, such as erectile failure or dyspareunia.

Incl.:
Frigidity
Hypoactive sexual desire disorder
F52.1 Sexual aversion and lack of sexual enjoyment
Definition

Either the prospect of sexual interaction produces sufficient fear or anxiety that sexual activity is avoided (sexual aversion) or sexual responses occur normally and orgasm is experienced but there is a lack of appropriate pleasure (lack of sexual enjoyment).

Incl.:
Anhedonia (sexual)
F52.2 Failure of genital response
Definition

The principal problem in men is erectile dysfunction (difficulty in developing or maintaining an erection suitable for satisfactory intercourse). In women, the principal problem is vaginal dryness or failure of lubrication.

Incl.:
Female sexual arousal disorder
Male erectile disorder
Psychogenic impotence
Excl.:
impotence of organic origin (N48.4)
F52.3 Orgasmic dysfunction
Definition

Orgasm either does not occur or is markedly delayed.

Incl.:
Inhibited orgasm (male)(female)
Psychogenic anorgasmy
F52.4 Premature ejaculation
Definition

The inability to control ejaculation sufficiently for both partners to enjoy sexual interaction.

F52.5 Nonorganic vaginismus
Definition

Spasm of the pelvic floor muscles that surround the vagina, causing occlusion of the vaginal opening. Penile entry is either impossible or painful.

Incl.:
Psychogenic vaginismus
Excl.:
vaginismus (organic) (N94.2)
F52.6 Nonorganic dyspareunia
Definition

Dyspareunia (or pain during sexual intercourse) occurs in both women and men. It can often be attributed to local pathology and should then properly be categorized under the pathological condition. This category is to be used only if there is no primary nonorganic sexual dysfunction (e.g. vaginismus or vaginal dryness).

Incl.:
Psychogenic dyspareunia
Excl.:
dyspareunia (organic) (N94.1)
F52.7 Excessive sexual drive
Incl.:
Nymphomania
Satyriasis
F52.8 Other sexual dysfunction, not caused by organic disorder or disease
F52.9 Unspecified sexual dysfunction, not caused by organic disorder or disease

F53 Mental and behavioural disorders associated with the puerperium, not elsewhere classified

Definition

This category includes only mental disorders associated with the puerperium (commencing within six weeks of delivery) that do not meet the criteria for disorders classified elsewhere in this chapter, either because insufficient information is available, or because it is considered that special additional clinical features are present that make their classification elsewhere inappropriate.

F53.0 Mild mental and behavioural disorders associated with the puerperium, not elsewhere classified
Incl.:
Depression:
  • postnatal NOS
  • postpartum NOS
F53.1 Severe mental and behavioural disorders associated with the puerperium, not elsewhere classified
Incl.:
Puerperal psychosis NOS
F53.8 Other mental and behavioural disorders associated with the puerperium, not elsewhere classified
F53.9 Puerperal mental disorder, unspecified

F54 Psychological and behavioural factors associated with disorders or diseases classified elsewhere

Definition

This category should be used to record the presence of psychological or behavioural influences thought to have played a major part in the aetiology of physical disorders which can be classified to other chapters. Any resulting mental disturbances are usually mild, and often prolonged (such as worry, emotional conflict, apprehension) and do not of themselves justify the use of any of the categories in this chapter.

Incl.:
Psychological factors affecting physical conditions
Examples of the use of this category are:
  • asthma F54 and J45.-
  • dermatitis F54 and L23-L25
  • gastric ulcer F54 and K25.-
  • irritable bowel syndrome F54 and K58.-
  • ulcerative colitis F54 and K51.-
  • urticaria F54 and L50.-
Coding-Hint
Use additional code, if desired, to identify the associated physical disorder.
Excl.:
tension-type headache (G44.2)

F55 Abuse of non-dependence-producing substances

Definition

A wide variety of medicaments and folk remedies may be involved, but the particularly important groups are: (a) psychotropic drugs that do not produce dependence, such as antidepressants, (b) laxatives, and (c) analgesics that may be purchased without medical prescription, such as aspirin and paracetamol.

Persistent use of these substances often involves unnecessary contacts with medical professionals or supporting staff, and is sometimes accompanied by harmful physical effects of the substances. Attempts to dissuade or forbid the use of the substance are often met with resistance; for laxatives and analgesics this may be in spite of warnings about (or even the development of) physical harm such as renal dysfunction or electrolyte disturbances. Although it is usually clear that the patient has a strong motivation to take the substance, dependence or withdrawal symptoms do not develop as in the case of the psychoactive substances specified in F10-F19.

Incl.:
Abuse of:
  • antacids
  • herbal or folk remedies
  • steroids or hormones
  • vitamins
Laxative habit
Excl.:
abuse of psychoactive substances (F10-F19)

F59 Unspecified behavioural syndromes associated with physiological disturbances and physical factors

Incl.:
Psychogenic physiological dysfunction NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter V
Mental and behavioural disorders
(F00-F99)

Disorders of adult personality and behaviour
(F60-F69)

Definition

This block includes a variety of conditions and behaviour patterns of clinical significance which tend to be persistent and appear to be the expression of the individual's characteristic lifestyle and mode of relating to himself or herself and others. Some of these conditions and patterns of behaviour emerge early in the course of individual development, as a result of both constitutional factors and social experience, while others are acquired later in life. Specific personality disorders (F60.-), mixed and other personality disorders (F61.-), and enduring personality changes (F62.-) are deeply ingrained and enduring behaviour patterns, manifesting as inflexible responses to a broad range of personal and social situations. They represent extreme or significant deviations from the way in which the average individual in a given culture perceives, thinks, feels and, particularly, relates to others. Such behaviour patterns tend to be stable and to encompass multiple domains of behaviour and psychological functioning. They are frequently, but not always, associated with various degrees of subjective distress and problems of social performance.

F60 Specific personality disorders

Definition

These are severe disturbances in the personality and behavioural tendencies of the individual; not directly resulting from disease, damage, or other insult to the brain, or from another psychiatric disorder; usually involving several areas of the personality; nearly always associated with considerable personal distress and social disruption; and usually manifest since childhood or adolescence and continuing throughout adulthood.

F60.0 Paranoid personality disorder
Definition

Personality disorder characterized by excessive sensitivity to setbacks, unforgiveness of insults; suspiciousness and a tendency to distort experience by misconstruing the neutral or friendly actions of others as hostile or contemptuous; recurrent suspicions, without justification, regarding the sexual fidelity of the spouse or sexual partner; and a combative and tenacious sense of personal rights. There may be excessive self-importance, and there is often excessive self-reference.

Incl.:
Personality (disorder):
  • expansive paranoid
  • fanatic
  • querulant
  • paranoid
  • sensitive paranoid
Excl.:
paranoia (F22.0)
paranoia querulans (F22.8)
paranoid:
F60.1 Schizoid personality disorder
Definition

Personality disorder characterized by withdrawal from affectional, social and other contacts with preference for fantasy, solitary activities, and introspection. There is a limited capacity to express feelings and to experience pleasure.

Excl.:
Asperger syndrome (F84.5)
delusional disorder (F22.0)
schizoid disorder of childhood (F84.5)
schizophrenia (F20.-)
schizotypal disorder (F21)
F60.2 Dissocial personality disorder
Definition

Personality disorder characterized by disregard for social obligations, and callous unconcern for the feelings of others. There is gross disparity between behaviour and the prevailing social norms. Behaviour is not readily modifiable by adverse experience, including punishment. There is a low tolerance to frustration and a low threshold for discharge of aggression, including violence; there is a tendency to blame others, or to offer plausible rationalizations for the behaviour bringing the patient into conflict with society.

Incl.:
Personality (disorder):
  • amoral
  • antisocial
  • asocial
  • psychopathic
  • sociopathic
Excl.:
conduct disorders (F91.-)
emotionally unstable personality disorder (F60.3)
F60.3 Emotionally unstable personality disorder
Definition

Personality disorder characterized by a definite tendency to act impulsively and without consideration of the consequences; the mood is unpredictable and capricious. There is a liability to outbursts of emotion and an incapacity to control the behavioural explosions. There is a tendency to quarrelsome behaviour and to conflicts with others, especially when impulsive acts are thwarted or censored. Two types may be distinguished: the impulsive type, characterized predominantly by emotional instability and lack of impulse control, and the borderline type, characterized in addition by disturbances in self-image, aims, and internal preferences, by chronic feelings of emptiness, by intense and unstable interpersonal relationships, and by a tendency to self-destructive behaviour, including suicide gestures and attempts.

Incl.:
Personality (disorder):
  • aggressive
  • borderline
  • explosive
Excl.:
dissocial personality disorder (F60.2)
F60.4 Histrionic personality disorder
Definition

Personality disorder characterized by shallow and labile affectivity, self-dramatization, theatricality, exaggerated expression of emotions, suggestibility, egocentricity, self-indulgence, lack of consideration for others, easily hurt feelings, and continuous seeking for appreciation, excitement and attention.

Incl.:
Personality (disorder):
  • hysterical
  • psychoinfantile
F60.5 Anankastic personality disorder
Definition

Personality disorder characterized by feelings of doubt, perfectionism, excessive conscientiousness, checking and preoccupation with details, stubbornness, caution, and rigidity. There may be insistent and unwelcome thoughts or impulses that do not attain the severity of an obsessive-compulsive disorder.

Incl.:
Personality (disorder):
  • compulsive
  • obsessional
  • obsessive-compulsive
Excl.:
obsessive-compulsive disorder (F42.-)
F60.6 Anxious [avoidant] personality disorder
Definition

Personality disorder characterized by feelings of tension and apprehension, insecurity and inferiority. There is a continuous yearning to be liked and accepted, a hypersensitivity to rejection and criticism with restricted personal attachments, and a tendency to avoid certain activities by habitual exaggeration of the potential dangers or risks in everyday situations.

F60.7 Dependent personality disorder
Definition

Personality disorder characterized by pervasive passive reliance on other people to make one's major and minor life decisions, great fear of abandonment, feelings of helplessness and incompetence, passive compliance with the wishes of elders and others, and a weak response to the demands of daily life. Lack of vigour may show itself in the intellectual or emotional spheres; there is often a tendency to transfer responsibility to others.

Incl.:
Personality (disorder):
  • asthenic
  • inadequate
  • passive
  • self-defeating
F60.8 Other specific personality disorders
Incl.:
Personality (disorder):
  • eccentric
  • "haltlose" type
  • immature
  • narcissistic
  • passive-aggressive
  • psychoneurotic
F60.9 Personality disorder, unspecified
Incl.:
Character neurosis NOS
Pathological personality NOS

F61 Mixed and other personality disorders

Definition

This category is intended for personality disorders that are often troublesome but do not demonstrate the specific pattern of symptoms that characterize the disorders described in F60.-. As a result they are often more difficult to diagnose than the disorders in F60.-.

Examples include:

  • mixed personality disorders with features of several of the disorders in F60.- but without a predominant set of symptoms that would allow a more specific diagnosis

  • troublesome personality changes, not classifiable to F60.- or F62.-, and regarded as secondary to a main diagnosis of a coexisting affective or anxiety disorder.

Excl.:
accentuated personality traits (Z73.1)

F62 Enduring personality changes, not attributable to brain damage and disease

Definition

Disorders of adult personality and behaviour that have developed in persons with no previous personality disorder following exposure to catastrophic or excessive prolonged stress, or following a severe psychiatric illness. These diagnoses should be made only when there is evidence of a definite and enduring change in a person's pattern of perceiving, relating to, or thinking about the environment and himself or herself. The personality change should be significant and be associated with inflexible and maladaptive behaviour not present before the pathogenic experience. The change should not be a direct manifestation of another mental disorder or a residual symptom of any antecedent mental disorder.

Excl.:
personality and behavioural disorder due to brain disease, damage and dysfunction (F07.-)
F62.0 Enduring personality change after catastrophic experience
Definition

Enduring personality change, present for at least two years, following exposure to catastrophic stress. The stress must be so extreme that it is not necessary to consider personal vulnerability in order to explain its profound effect on the personality. The disorder is characterized by a hostile or distrustful attitude toward the world, social withdrawal, feelings of emptiness or hopelessness, a chronic feeling of "being on edge" as if constantly threatened, and estrangement. Post-traumatic stress disorder (F43.1) may precede this type of personality change.

Incl.:
Personality change after:
  • concentration camp experiences
  • disasters
  • prolonged:
    • captivity with an imminent possibility of being killed
    • exposure to life-threatening situations such as being a victim of terrorism
  • torture
Excl.:
post-traumatic stress disorder (F43.1)
F62.1 Enduring personality change after psychiatric illness
Definition

Personality change, persisting for at least two years, attributable to the traumatic experience of suffering from a severe psychiatric illness. The change cannot be explained by a previous personality disorder and should be differentiated from residual schizophrenia and other states of incomplete recovery from an antecedent mental disorder. This disorder is characterized by an excessive dependence on and a demanding attitude towards others; conviction of being changed or stigmatized by the illness, leading to an inability to form and maintain close and confiding personal relationships and to social iso-lation; passivity, reduced interests, and diminished involvement in leisure activities; persistent complaints of being ill, which may be associated with hypochondriacal claims and illness behaviour; dysphoric or labile mood, not due to the presence of a current mental disorder or antecedent mental disorder with residual affective symptoms; and longstanding problems in social and occupational functioning.

F62.8 Other enduring personality changes
Incl.:
Chronic pain personality syndrome
F62.9 Enduring personality change, unspecified

F63 Habit and impulse disorders

Definition

This category includes certain disorders of behaviour that are not classifiable under other categories. They are characterized by repeated acts that have no clear rational motivation, cannot be controlled, and generally harm the patient's own interests and those of other people. The patient reports that the behaviour is associated with impulses to action. The cause of these disorders is not understood and they are grouped together because of broad descriptive similarities, not because they are known to share any other important features.

Excl.:
habitual excessive use of alcohol or psychoactive substances (F10-F19)
impulse and habit disorders involving sexual behaviour (F65.-)
F63.0 Pathological gambling
Definition

The disorder consists of frequent, repeated episodes of gambling that dominate the patient's life to the detriment of social, occupational, material, and family values and commitments.

Incl.:
Compulsive gambling
Excl.:
excessive gambling by manic patients (F30.-)
gambling and betting NOS (Z72.6)
gambling in dissocial personality disorder (F60.2)
F63.1 Pathological fire-setting [pyromania]
Definition

Disorder characterized by multiple acts of, or attempts at, setting fire to property or other objects, without apparent motive, and by a persistent preoccupation with subjects related to fire and burning. This behaviour is often associated with feelings of increasing tension before the act, and intense excitement immediately afterwards.

Excl.:
fire-setting (by)(in):
F63.2 Pathological stealing [kleptomania]
Definition

Disorder characterized by repeated failure to resist impulses to steal objects that are not acquired for personal use or monetary gain. The objects may instead be discarded, given away, or hoarded. This behaviour is usually accompanied by an increasing sense of tension before, and a sense of gratification during and immediately after, the act.

Excl.:
depressive disorder with stealing (F31-F33)
organic mental disorders (F00-F09)
shoplifting as the reason for observation for suspected mental disorder (Z03.2)
F63.3 Trichotillomania
Definition

A disorder characterized by noticeable hair-loss due to a recurrent failure to resist impulses to pull out hairs. The hair-pulling is usually preceded by mounting tension and is followed by a sense of relief or gratification. This diagnosis should not be made if there is a pre-existing inflammation of the skin, or if the hair-pulling is in response to a delusion or a hallucination.

Excl.:
stereotyped movement disorder with hair-plucking (F98.4)
F63.8 Other habit and impulse disorders
Definition

Other kinds of persistently repeated maladaptive behaviour that are not secondary to a recognized psychiatric syndrome, and in which it appears that the patient is repeatedly failing to resist impulses to carry out the behaviour. There is a prodromal period of tension with a feeling of release at the time of the act.

Incl.:
Intermittent explosive disorder
F63.9 Habit and impulse disorder, unspecified

F64 Gender identity disorders

F64.0 Transsexualism
Definition

A desire to live and be accepted as a member of the opposite sex, usually accompanied by a sense of discomfort with, or inappropriateness of, one's anatomic sex, and a wish to have surgery and hormonal treatment to make one's body as congruent as possible with one's preferred sex.

F64.1 Dual-role transvestism
Definition

The wearing of clothes of the opposite sex for part of the individual's existence in order to enjoy the temporary experience of membership of the opposite sex, but without any desire for a more permanent sex change or associated surgical reassignment, and without sexual excitement accompanying the cross-dressing.

Incl.:
Gender identity disorder of adolescence or adulthood, nontranssexual type
Excl.:
fetishistic transvestism (F65.1)
F64.2 Gender identity disorder of childhood
Definition

A disorder, usually first manifest during early childhood (and always well before puberty), characterized by a persistent and intense distress about assigned sex, together with a desire to be (or insistence that one is) of the other sex. There is a persistent preoccupation with the dress and activities of the opposite sex and repudiation of the individual's own sex. The diagnosis requires a profound disturbance of the normal gender identity; mere tomboyishness in girls or girlish behaviour in boys is not sufficient. Gender identity disorders in individuals who have reached or are entering puberty should not be classified here but in F66.-.

Excl.:
egodystonic sexual orientation (F66.1)
sexual maturation disorder (F66.0)
F64.8 Other gender identity disorders
F64.9 Gender identity disorder, unspecified
Incl.:
Gender-role disorder NOS

F65 Disorders of sexual preference

Incl.:
paraphilias
F65.0 Fetishism
Definition

Reliance on some non-living object as a stimulus for sexual arousal and sexual gratification. Many fetishes are extensions of the human body, such as articles of clothing or footwear. Other common examples are characterized by some particular texture such as rubber, plastic or leather. Fetish objects vary in their importance to the individual. In some cases they simply serve to enhance sexual excitement achieved in ordinary ways (e.g. having the partner wear a particular garment).

F65.1 Fetishistic transvestism
Definition

The wearing of clothes of the opposite sex principally to obtain sexual excitement and to create the appearance of a person of the opposite sex. Fetishistic transvestism is distinguished from transsexual transvestism by its clear association with sexual arousal and the strong desire to remove the clothing once orgasm occurs and sexual arousal declines. It can occur as an earlier phase in the development of transsexualism.

Incl.:
Transvestic fetishism
F65.2 Exhibitionism
Definition

A recurrent or persistent tendency to expose the genitalia to strangers (usually of the opposite sex) or to people in public places, without inviting or intending closer contact. There is usually, but not invariably, sexual excitement at the time of the exposure and the act is commonly followed by masturbation.

F65.3 Voyeurism
Definition

A recurrent or persistent tendency to look at people engaging in sexual or intimate behaviour such as undressing. This is carried out without the observed people being aware, and usually leads to sexual excitement and masturbation.

F65.4 Paedophilia
Definition

A sexual preference for children, boys or girls or both, usually of prepubertal or early pubertal age.

F65.5 Sadomasochism
Definition

A preference for sexual activity which involves the infliction of pain or humiliation, or bondage. If the subject prefers to be the recipient of such stimulation this is called masochism; if the provider, sadism. Often an individual obtains sexual excitement from both sadistic and masochistic activities.

Incl.:
Masochism
Sadism
F65.6 Multiple disorders of sexual preference
Definition

Sometimes more than one abnormal sexual preference occurs in one person and there is none of first rank. The most common combination is fetishism, transvestism and sadomasochism.

F65.8 Other disorders of sexual preference
Definition

A variety of other patterns of sexual preference and activity, including making obscene telephone calls, rubbing up against people for sexual stimulation in crowded public places, sexual activity with animals, and use of strangulation or anoxia for intensifying sexual excitement.

Incl.:
Frotteurism
Necrophilia
F65.9 Disorder of sexual preference, unspecified
Incl.:
Sexual deviation NOS

F66 Psychological and behavioural disorders associated with sexual development and orientation

Note:

Sexual orientation by itself is not to be regarded as a disorder.

F66.0 Sexual maturation disorder
Definition

The patient suffers from uncertainty about his or her gender identity or sexual orientation, which causes anxiety or depression. Most commonly this occurs in adolescents who are not certain whether they are homosexual, heterosexual or bisexual in orientation, or in individuals who, after a period of apparently stable sexual orientation (often within a longstanding relationship), find that their sexual orientation is changing.

F66.1 Egodystonic sexual orientation
Definition

The gender identity or sexual preference (heterosexual, homosexual, bisexual, or prepubertal) is not in doubt, but the individual wishes it were different because of associated psychological and behavioural disorders, and may seek treatment in order to change it.

F66.2 Sexual relationship disorder
Definition

The gender identity or sexual orientation (heterosexual, homosexual, or bisexual) is responsible for difficulties in forming or maintaining a relationship with a sexual partner.

F66.8 Other psychosexual development disorders
F66.9 Psychosexual development disorder, unspecified

F68 Other disorders of adult personality and behaviour

F68.0 Elaboration of physical symptoms for psychological reasons
Definition

Physical symptoms compatible with and originally due to a confirmed physical disorder, disease or disability become exaggerated or prolonged due to the psychological state of the patient. The patient is commonly distressed by this pain or disability, and is often preoccupied with worries, which may be justified, of the possibility of prolonged or progressive disability or pain.

Incl.:
Compensation neurosis
F68.1 Intentional production or feigning of symptoms or disabilities, either physical or psychological [factitious disorder]
Definition

The patient feigns symptoms repeatedly for no obvious reason and may even inflict self-harm in order to produce symptoms or signs. The motivation is obscure and presumably internal with the aim of adopting the sick role. The disorder is often combined with marked disorders of personality and relationships.

Incl.:
Hospital hopper syndrome
Münchhausen syndrome
Peregrinating patient
Excl.:
factitial dermatitis (L98.1)
person feigning illness (with obvious motivation) (Z76.5)
F68.8 Other specified disorders of adult personality and behaviour
Incl.:
Character disorder NOS
Relationship disorder NOS

F69 Unspecified disorder of adult personality and behaviour

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter V
Mental and behavioural disorders
(F00-F99)

Mental retardation
(F70-F79)

Definition

A condition of arrested or incomplete development of the mind, which is especially characterized by impairment of skills manifested during the developmental period, skills which contribute to the overall level of intelligence, i.e. cognitive, language, motor, and social abilities. Retardation can occur with or without any other mental or physical condition.

Degrees of mental retardation are conventionally estimated by standardized intelligence tests. These can be supplemented by scales assessing social adaptation in a given environment. These measures provide an approximate indication of the degree of mental retardation. The diagnosis will also depend on the overall assessment of intellectual functioning by a skilled diagnostician.

Intellectual abilities and social adaptation may change over time, and, however poor, may improve as a result of training and rehabilitation. Diagnosis should be based on the current levels of functioning.

Coding-Hint
Use additional code, if desired, to identify associated conditions such as autism, other developmental disorders, epilepsy, conduct disorders, or severe physical handicap.
Modifiers

The following fourth-character subdivisions are for use with categories F70-F79 to identify the extent of impairment of behaviour:

Code Title
.0
With the statement of no, or minimal, impairment of behaviour
.1
Significant impairment of behaviour requiring attention or treatment
.8
Other impairments of behaviour
.9
Without mention of impairment of behaviour

F70 Mild mental retardation

Definition

Approximate IQ range of 50 to 69 (in adults, mental age from 9 to under 12 years). Likely to result in some learning difficulties in school. Many adults will be able to work and maintain good social relationships and contribute to society.

Incl.:
feeble-mindedness
mild mental subnormality

F71 Moderate mental retardation

Definition

Approximate IQ range of 35 to 49 (in adults, mental age from 6 to under 9 years). Likely to result in marked developmental delays in childhood but most can learn to develop some degree of independence in self-care and acquire adequate communication and academic skills. Adults will need varying degrees of support to live and work in the community.

Incl.:
moderate mental subnormality

F72 Severe mental retardation

Definition

Approximate IQ range of 20 to 34 (in adults, mental age from 3 to under 6 years). Likely to result in continuous need of support.

Incl.:
severe mental subnormality

F73 Profound mental retardation

Definition

IQ under 20 (in adults, mental age below 3 years). Results in severe limitation in self-care, continence, communication and mobility.

Incl.:
profound mental subnormality

F78 Other mental retardation

F79 Unspecified mental retardation

Incl.:
mental:
  • deficiency NOS
  • subnormality NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter V
Mental and behavioural disorders
(F00-F99)

Disorders of psychological development
(F80-F89)

Definition

The disorders included in this block have in common: (a) onset invariably during infancy or childhood; (b) impairment or delay in development of functions that are strongly related to biological maturation of the central nervous system; and (c) a steady course without remissions and relapses. In most cases, the functions affected include language, visuo-spatial skills, and motor coordination. Usually, the delay or impairment has been present from as early as it could be detected reliably and will diminish progressively as the child grows older, although milder deficits often remain in adult life.

F80 Specific developmental disorders of speech and language

Definition

Disorders in which normal patterns of language acquisition are disturbed from the early stages of development. The conditions are not directly attributable to neurological or speech mechanism abnormalities, sensory impairments, mental retardation, or environmental factors. Specific developmental disorders of speech and language are often followed by associated problems, such as difficulties in reading and spelling, abnormalities in interpersonal relationships, and emotional and behavioural disorders.

F80.0 Specific speech articulation disorder
Definition

A specific developmental disorder in which the child's use of speech sounds is below the appropriate level for its mental age, but in which there is a normal level of language skills.

Incl.:
Developmental:
  • phonological disorder
  • speech articulation disorder
Dyslalia
Functional speech articulation disorder
Lalling
Excl.:
speech articulation impairment (due to):
F80.1 Expressive language disorder
Definition

A specific developmental disorder in which the child's ability to use expressive spoken language is markedly below the appropriate level for its mental age, but in which language comprehension is within normal limits. There may or may not be abnormalities in articulation.

Incl.:
Developmental dysphasia or aphasia, expressive type
Excl.:
acquired aphasia with epilepsy [Landau-Kleffner] (F80.3)
dysphasia and aphasia:
  • NOS (R47.0)
  • developmental, receptive type (F80.2)
elective mutism (F94.0)
mental retardation (F70-F79)
pervasive developmental disorders (F84.-)
F80.2 Receptive language disorder
Definition

A specific developmental disorder in which the child's understanding of language is below the appropriate level for its mental age. In virtually all cases expressive language will also be markedly affected and abnormalities in word-sound production are common.

Incl.:
Congenital auditory imperception
Developmental:
  • dysphasia or aphasia, receptive type
  • Wernicke aphasia
Word deafness
Excl.:
acquired aphasia with epilepsy [Landau-Kleffner] (F80.3)
autism (F84.0-F84.1)
dysphasia and aphasia:
  • NOS (R47.0)
  • developmental, expressive type (F80.1)
elective mutism (F94.0)
language delay due to deafness (H90-H91)
mental retardation (F70-F79)
F80.3 Acquired aphasia with epilepsy [Landau-Kleffner]
Definition

A disorder in which the child, having previously made normal progress in language development, loses both receptive and expressive language skills but retains general intelligence; the onset of the disorder is accompanied by paroxysmal abnormalities on the EEG, and in the majority of cases also by epileptic seizures. Usually the onset is between the ages of three and seven years, with skills being lost over days or weeks. The temporal association between the onset of seizures and loss of language is variable, with one preceding the other (either way round) by a few months to two years. An inflammatory encephalitic process has been suggested as a possible cause of this disorder. About two-thirds of patients are left with a more or less severe receptive language deficit.

Excl.:
aphasia (due to):
F80.8 Other developmental disorders of speech and language
Incl.:
Lisping
F80.9 Developmental disorder of speech and language, unspecified
Incl.:
Language disorder NOS

F81 Specific developmental disorders of scholastic skills

Definition

Disorders in which the normal patterns of skill acquisition are disturbed from the early stages of development. This is not simply a consequence of a lack of opportunity to learn, it is not solely a result of mental retardation, and it is not due to any form of acquired brain trauma or disease.

F81.0 Specific reading disorder
Definition

The main feature is a specific and significant impairment in the development of reading skills that is not solely accounted for by mental age, visual acuity problems, or inadequate schooling. Reading comprehension skill, reading word recognition, oral reading skill, and performance of tasks requiring reading may all be affected. Spelling difficulties are frequently associated with specific reading disorder and often remain into adolescence even after some progress in reading has been made. Specific developmental disorders of reading are commonly preceded by a history of disorders in speech or language development. Associated emotional and behavioural disturbances are common during the school age period.

Incl.:
"Backward reading"
Developmental dyslexia
Specific reading retardation
Excl.:
alexia NOS (R48.0)
dyslexia NOS (R48.0)
reading difficulties secondary to emotional disorders (F93.-)
F81.1 Specific spelling disorder
Definition

The main feature is a specific and significant impairment in the development of spelling skills in the absence of a history of specific reading disorder, which is not solely accounted for by low mental age, visual acuity problems, or inadequate schooling. The ability to spell orally and to write out words correctly are both affected.

Incl.:
Specific spelling retardation (without reading disorder)
Excl.:
agraphia NOS (R48.8)
spelling difficulties:
  • associated with a reading disorder (F81.0)
  • due to inadequate teaching (Z55.8)
F81.2 Specific disorder of arithmetical skills
Definition

Involves a specific impairment in arithmetical skills that is not solely explicable on the basis of general mental retardation or of inadequate schooling. The deficit concerns mastery of basic computational skills of addition, subtraction, multiplication, and division rather than of the more abstract mathematical skills involved in algebra, trigonometry, geometry, or calculus.

Incl.:
Developmental:
  • acalculia
  • arithmetical disorder
  • Gerstmann syndrome
Excl.:
acalculia NOS (R48.8)
arithmetical difficulties:
  • associated with a reading or spelling disorder (F81.3)
  • due to inadequate teaching (Z55.8)
F81.3 Mixed disorder of scholastic skills
Definition

An ill-defined residual category of disorders in which both arithmetical and reading or spelling skills are significantly impaired, but in which the disorder is not solely explicable in terms of general mental retardation or of inadequate schooling. It should be used for disorders meeting the criteria for both F81.2 and either F81.0 or F81.1.

Excl.:
specific:
  • disorder of arithmetical skills (F81.2)
  • reading disorder (F81.0)
  • spelling disorder (F81.1)
F81.8 Other developmental disorders of scholastic skills
Incl.:
Developmental expressive writing disorder
F81.9 Developmental disorder of scholastic skills, unspecified
Incl.:
Knowledge acquisition disability NOS
Learning:
  • disability NOS
  • disorder NOS

F82 Specific developmental disorder of motor function

Definition

A disorder in which the main feature is a serious impairment in the development of motor coordination that is not solely explicable in terms of general intellectual retardation or of any specific congenital or acquired neurological disorder. Nevertheless, in most cases a careful clinical examination shows marked neurodevelopmental immaturities such as choreiform movements of unsupported limbs or mirror movements and other associated motor features, as well as signs of impaired fine and gross motor coordination.

Incl.:
Clumsy child syndrome
Developmental:
  • coordination disorder
  • dyspraxia
Excl.:
abnormalities of gait and mobility (R26.-)
lack of coordination (R27.-)
lack of coordination
  • secondary to mental retardation (F70-F79)

F83 Mixed specific developmental disorders

Definition

A residual category for disorders in which there is some admixture of specific developmental disorders of speech and language, of scholastic skills, and of motor function, but in which none predominates sufficiently to constitute the prime diagnosis. This mixed category should be used only when there is a major overlap between each of these specific developmental disorders. The disorders are usually, but not always, associated with some degree of general impairment of cognitive functions. Thus, the category should be used when there are dysfunctions meeting the criteria for two or more of F80.-, F81.- and F82.

F84 Pervasive developmental disorders

Definition

A group of disorders characterized by qualitative abnormalities in reciprocal social interactions and in patterns of communication, and by a restricted, stereotyped, repetitive repertoire of interests and activities. These qualitative abnormalities are a pervasive feature of the individual's functioning in all situations.

Coding-Hint
Use additional code, if desired, to identify any associated medical condition and mental retardation.
F84.0 Childhood autism
Definition

A type of pervasive developmental disorder that is defined by: (a) the presence of abnormal or impaired development that is manifest before the age of three years, and (b) the characteristic type of abnormal functioning in all the three areas of psychopathology: reciprocal social interaction, communication, and restricted, stereotyped, repetitive behaviour. In addition to these specific diagnostic features, a range of other nonspecific problems are common, such as phobias, sleeping and eating disturbances, temper tantrums, and (self-directed) aggression.

Incl.:
Autistic disorder
Infantile:
  • autism
  • psychosis
Kanner syndrome
Excl.:
autistic psychopathy (F84.5)
F84.1 Atypical autism
Definition

A type of pervasive developmental disorder that differs from childhood autism either in age of onset or in failing to fulfil all three sets of diagnostic criteria. This subcategory should be used when there is abnormal and impaired development that is present only after age three years, and a lack of sufficient demonstrable abnormalities in one or two of the three areas of psychopathology required for the diagnosis of autism (namely, reciprocal social interactions, communication, and restricted, stereotyped, repetitive behaviour) in spite of characteristic abnormalities in the other area(s). Atypical autism arises most often in profoundly retarded individuals and in individuals with a severe specific developmental disorder of receptive language.

Incl.:
Atypical childhood psychosis
Mental retardation with autistic features
Coding-Hint
Use additional code (F70-F79), if desired, to identify mental retardation.
F84.2 Rett syndrome
Definition

A condition, so far found only in girls, in which apparently normal early development is followed by partial or complete loss of speech and of skills in locomotion and use of hands, together with deceleration in head growth, usually with an onset between seven and 24 months of age. Loss of purposive hand movements, hand-wringing stereotypies, and hyperventilation are characteristic. Social and play development are arrested but social interest tends to be maintained. Trunk ataxia and apraxia start to develop by age four years and choreoathetoid movements frequently follow. Severe mental retardation almost invariably results.

F84.3 Other childhood disintegrative disorder
Definition

A type of pervasive developmental disorder that is defined by a period of entirely normal development before the onset of the disorder, followed by a definite loss of previously acquired skills in several areas of development over the course of a few months. Typically, this is accompanied by a general loss of interest in the environment, by stereotyped, repetitive motor mannerisms, and by autistic-like abnormalities in social interaction and communication. In some cases the disorder can be shown to be due to some associated encephalopathy but the diagnosis should be made on the behavioural features.

Incl.:
Dementia infantilis
Disintegrative psychosis
Heller syndrome
Symbiotic psychosis
Coding-Hint
Use additional code, if desired, to identify any associated neurological condition.
Excl.:
Rett syndrome (F84.2)
F84.4 Overactive disorder associated with mental retardation and stereotyped movements
Definition

An ill-defined disorder of uncertain nosological validity. The category is designed to include a group of children with severe mental retardation (IQ below 35) who show major problems in hyperactivity and in attention, as well as stereotyped behaviours. They tend not to benefit from stimulant drugs (unlike those with an IQ in the normal range) and may exhibit a severe dysphoric reaction (sometimes with psychomotor retardation) when given stimulants. In adolescence, the overactivity tends to be replaced by underactivity (a pattern that is not usual in hyperkinetic children with normal intelligence). This syndrome is also often associated with a variety of developmental delays, either specific or global. The extent to which the behavioural pattern is a function of low IQ or of organic brain damage is not known.

F84.5 Asperger syndrome
Definition

A disorder of uncertain nosological validity, characterized by the same type of qualitative abnormalities of reciprocal social interaction that typify autism, together with a restricted, stereotyped, repetitive repertoire of interests and activities. It differs from autism primarily in the fact that there is no general delay or retardation in language or in cognitive development. This disorder is often associated with marked clumsiness. There is a strong tendency for the abnormalities to persist into adolescence and adult life. Psychotic episodes occasionally occur in early adult life.

Incl.:
Autistic psychopathy
Schizoid disorder of childhood
F84.8 Other pervasive developmental disorders
F84.9 Pervasive developmental disorder, unspecified

F88 Other disorders of psychological development

Incl.:
Developmental agnosia

F89 Unspecified disorder of psychological development

Incl.:
Developmental disorder NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter V
Mental and behavioural disorders
(F00-F99)

F90 Hyperkinetic disorders

Definition

A group of disorders characterized by an early onset (usually in the first five years of life), lack of persistence in activities that require cognitive involvement, and a tendency to move from one activity to another without completing any one, together with disorganized, ill-regulated, and excessive activity. Several other abnormalities may be associated. Hyperkinetic children are often reckless and impulsive, prone to accidents, and find themselves in disciplinary trouble because of unthinking breaches of rules rather than deliberate defiance. Their relationships with adults are often socially disinhibited, with a lack of normal caution and reserve. They are unpopular with other children and may become isolated. Impairment of cognitive functions is common, and specific delays in motor and language development are disproportionately frequent. Secondary complications include dissocial behaviour and low self-esteem.

Excl.:
anxiety disorders (F41.-)
mood [affective] disorders (F30-F39)
pervasive developmental disorders (F84.-)
schizophrenia (F20.-)
F90.0 Disturbance of activity and attention
Incl.:
Attention deficit:
  • disorder with hyperactivity
  • hyperactivity disorder
  • syndrome with hyperactivity
Excl.:
hyperkinetic disorder associated with conduct disorder (F90.1)
F90.1 Hyperkinetic conduct disorder
Incl.:
Hyperkinetic disorder associated with conduct disorder
F90.8 Other hyperkinetic disorders
F90.9 Hyperkinetic disorder, unspecified
Incl.:
Hyperkinetic reaction of childhood or adolescence NOS
Hyperkinetic syndrome NOS

F91 Conduct disorders

Definition

Disorders characterized by a repetitive and persistent pattern of dissocial, aggressive, or defiant conduct. Such behaviour should amount to major violations of age-appropriate social expectations; it should therefore be more severe than ordinary childish mischief or adolescent rebelliousness and should imply an enduring pattern of behaviour (six months or longer). Features of conduct disorder can also be symptomatic of other psychiatric conditions, in which case the underlying diagnosis should be preferred.

Examples of the behaviours on which the diagnosis is based include excessive levels of fighting or bullying, cruelty to other people or animals, severe destructiveness to property, fire-setting, stealing, repeated lying, truancy from school and running away from home, unusually frequent and severe temper tantrums, and disobedience. Any one of these behaviours, if marked, is sufficient for the diagnosis, but isolated dissocial acts are not.

Excl.:
mood [affective] (F30-F39)
pervasive developmental disorders (F84.-)
schizophrenia (F20.-)
when associated with:
  • emotional disorders (F92.-)
  • hyperkinetic disorders (F90.1)
F91.0 Conduct disorder confined to the family context
Definition

Conduct disorder involving dissocial or aggressive behaviour (and not merely oppositional, defiant, disruptive behaviour), in which the abnormal behaviour is entirely, or almost entirely, confined to the home and to interactions with members of the nuclear family or immediate household. The disorder requires that the overall criteria for F91.- be met; even severely disturbed parent-child relationships are not of themselves sufficient for diagnosis.

F91.1 Unsocialized conduct disorder
Definition

Disorder characterized by the combination of persistent dissocial or aggressive behaviour (meeting the overall criteria for F91.- and not merely comprising oppositional, defiant, disruptive behaviour) with significant pervasive abnormalities in the individual's relationships with other children.

Incl.:
Conduct disorder, solitary aggressive type
Unsocialized aggressive disorder
F91.2 Socialized conduct disorder
Definition

Disorder involving persistent dissocial or aggressive behaviour (meeting the overall criteria for F91.- and not merely comprising oppositional, defiant, disruptive behaviour) occurring in individuals who are generally well integrated into their peer group.

Incl.:
Conduct disorder, group type
Group delinquency
Offences in the context of gang membership
Stealing in company with others
Truancy from school
F91.3 Oppositional defiant disorder
Definition

Conduct disorder, usually occurring in younger children, primarily characterized by markedly defiant, disobedient, disruptive behaviour that does not include delinquent acts or the more extreme forms of aggressive or dissocial behaviour. The disorder requires that the overall criteria for F91.- be met; even severely mischievous or naughty behaviour is not in itself sufficient for diagnosis. Caution should be employed before using this category, especially with older children, because clinically significant conduct disorder will usually be accompanied by dissocial or aggressive behaviour that goes beyond mere defiance, disobedience, or disruptiveness.

F91.8 Other conduct disorders
F91.9 Conduct disorder, unspecified
Incl.:
Childhood:
  • behavioural disorder NOS
  • conduct disorder NOS

F92 Mixed disorders of conduct and emotions

Definition

A group of disorders characterized by the combination of persistently aggressive, dissocial or defiant behaviour with overt and marked symptoms of depression, anxiety or other emotional upsets. The criteria for both conduct disorders of childhood (F9l.-) and emotional disorders of childhood (F93.-) or an adult-type neurotic diagnosis (F40-F48) or a mood disorder (F30-F39) must be met.

F92.0 Depressive conduct disorder
Definition

This category requires the combination of conduct disorder (F91.-) with persistent and marked depression of mood (F32.-), as demonstrated by symptoms such as excessive misery, loss of interest and pleasure in usual activities, self-blame, and hopelessness; disturbances of sleep or appetite may also be present.

Incl.:
Conduct disorder in F91.- associated with depressive disorder in F32.-
F92.8 Other mixed disorders of conduct and emotions
Definition

This category requires the combination of conduct disorder (F91.-) with persistent and marked emotional symptoms such as anxiety, obsessions or compulsions, depersonalization or derealization, phobias, or hypochondriasis.

Incl.:
Conduct disorder in F91.- associated with:
  • emotional disorder in F93.-
  • neurotic disorder in F40-F48
F92.9 Mixed disorder of conduct and emotions, unspecified

F93 Emotional disorders with onset specific to childhood

Definition

Mainly exaggerations of normal developmental trends rather than phenomena that are qualitatively abnormal in themselves. Developmental appropriateness is used as the key diagnostic feature in defining the difference between these emotional disorders, with onset specific to childhood, and the neurotic disorders (F40-F48).

Excl.:
when associated with conduct disorder (F92.-)
F93.0 Separation anxiety disorder of childhood
Definition

Should be diagnosed when fear of separation constitutes the focus of the anxiety and when such anxiety first arose during the early years of childhood. It is differentiated from normal separation anxiety when it is of a degree (severity) that is statistically unusual (including an abnormal persistence beyond the usual age period), and when it is associated with significant problems in social functioning.

Excl.:
mood [affective] disorders (F30-F39)
neurotic disorders (F40-F48)
phobic anxiety disorder of childhood (F93.1)
social anxiety disorder of childhood (F93.2)
F93.1 Phobic anxiety disorder of childhood
Definition

Fears in childhood that show a marked developmental phase specificity and arise (to some extent) in a majority of children, but that are abnormal in degree. Other fears that arise in childhood but that are not a normal part of psychosocial development (for example agoraphobia) should be coded under the appropriate category in section F40-F48.

Excl.:
generalized anxiety disorder (F41.1)
F93.2 Social anxiety disorder of childhood
Definition

In this disorder there is a wariness of strangers and social apprehension or anxiety when encountering new, strange, or socially threatening situations. This category should be used only where such fears arise during the early years, and are both unusual in degree and accompanied by problems in social functioning.

Incl.:
Avoidant disorder of childhood or adolescence
F93.3 Sibling rivalry disorder
Definition

Some degree of emotional disturbance usually following the birth of an immediately younger sibling is shown by a majority of young children. A sibling rivalry disorder should be diagnosed only if the degree or persistence of the disturbance is both statistically unusual and associated with abnormalities of social interaction.

Incl.:
Sibling jealousy
F93.8 Other childhood emotional disorders
Incl.:
Identity disorder
Overanxious disorder
Excl.:
gender identity disorder of childhood (F64.2)
F93.9 Childhood emotional disorder, unspecified

F94 Disorders of social functioning with onset specific to childhood and adolescence

Definition

A somewhat heterogeneous group of disorders that have in common abnormalities in social functioning which begin during the developmental period, but which (unlike the pervasive developmental disorders) are not primarily characterized by an apparently constitutional social incapacity or deficit that pervades all areas of functioning. In many instances, serious environmental distortions or privations probably play a crucial role in etiology.

F94.0 Elective mutism
Definition

Characterized by a marked, emotionally determined selectivity in speaking, such that the child demonstrates a language competence in some situations but fails to speak in other (definable) situations. The disorder is usually associated with marked personality features involving social anxiety, withdrawal, sensitivity, or resistance.

Incl.:
Selective mutism
Excl.:
pervasive developmental disorders (F84.-)
schizophrenia (F20.-)
specific developmental disorders of speech and language (F80.-)
transient mutism as part of separation anxiety in young children (F93.0)
F94.1 Reactive attachment disorder of childhood
Definition

Starts in the first five years of life and is characterized by persistent abnormalities in the child's pattern of social relationships that are associated with emotional disturbance and are reactive to changes in environmental circumstances (e.g. fearfulness and hypervigilance, poor social interaction with peers, aggression towards self and others, misery, and growth failure in some cases). The syndrome probably occurs as a direct result of severe parental neglect, abuse, or serious mishandling.

Coding-Hint
Use additional code, if desired, to identify any associated failure to thrive or growth retardation.
Excl.:
Asperger syndrome (F84.5)
disinhibited attachment disorder of childhood (F94.2)
maltreatment syndromes (T74.-)
normal variation in pattern of selective attachment
sexual or physical abuse in childhood, resulting in psychosocial problems (Z61.4-Z61.6)
F94.2 Disinhibited attachment disorder of childhood
Definition

A particular pattern of abnormal social functioning that arises during the first five years of life and that tends to persist despite marked changes in environmental circumstances, e.g. diffuse, nonselectively focused attachment behaviour, attention-seeking and indiscriminately friendly behaviour, poorly modulated peer interactions; depending on circumstances there may also be associated emotional or behavioural disturbance.

Incl.:
Affectionless psychopathy
Institutional syndrome
Excl.:
Asperger syndrome (F84.5)
hospitalism in children (F43.2)
hyperkinetic disorders (F90.-)
reactive attachment disorder of childhood (F94.1)
F94.8 Other childhood disorders of social functioning
F94.9 Childhood disorder of social functioning, unspecified

F95 Tic disorders

Definition

Syndromes in which the predominant manifestation is some form of tic. A tic is an involuntary, rapid, recurrent, nonrhythmic motor movement (usually involving circumscribed muscle groups) or vocal production that is of sudden onset and that serves no apparent purpose. Tics tend to be experienced as irresistible but usually they can be suppressed for varying periods of time, are exacerbated by stress, and disappear during sleep. Common simple motor tics include only eye-blinking, neck-jerking, shoulder- shrugging, and facial grimacing. Common simple vocal tics include throat-clearing, barking, sniffing, and hissing. Common complex tics include hitting oneself, jumping, and hopping. Common complex vocal tics include the repetition of particular words, and sometimes the use of socially unacceptable (often obscene) words (coprolalia), and the repetition of one's own sounds or words (palilalia).

F95.0 Transient tic disorder
Definition

Meets the general criteria for a tic disorder but the tics do not persist longer than 12 months. The tics usually take the form of eye-blinking, facial grimacing, or head-jerking.

F95.1 Chronic motor or vocal tic disorder
Definition

Meets the general criteria for a tic disorder, in which there are motor or vocal tics (but not both), that may be either single or multiple (but usually multiple), and last for more than a year.

F95.2 Combined vocal and multiple motor tic disorder [de la Tourette]
Definition

A form of tic disorder in which there are, or have been, multiple motor tics and one or more vocal tics, although these need not have occurred concurrently. The disorder usually worsens during adolescence and tends to persist into adult life. The vocal tics are often multiple with explosive repetitive vocalizations, throat-clearing, and grunting, and there may be the use of obscene words or phrases. Sometimes there is associated gestural echopraxia which may also be of an obscene nature (copropraxia).

F95.8 Other tic disorders
F95.9 Tic disorder, unspecified
Incl.:
Tic NOS

F98 Other behavioural and emotional disorders with onset usually occurring in childhood and adolescence

Definition

A heterogeneous group of disorders that share the characteristic of an onset in childhood but otherwise differ in many respects. Some of the conditions represent well-defined syndromes but others are no more than symptom complexes that need inclusion because of their frequency and association with psychosocial problems, and because they cannot be incorporated into other syndromes.

Excl.:
breath-holding spells (R06.8)
gender identity disorder of childhood (F64.2)
Kleine-Levin syndrome (G47.8)
obsessive-compulsive disorder (F42.-)
sleep disorders due to emotional causes (F51.-)
F98.0 Nonorganic enuresis
Definition

A disorder characterized by involuntary voiding of urine, by day and by night, which is abnormal in relation to the individual's mental age, and which is not a consequence of a lack of bladder control due to any neurological disorder, to epileptic attacks, or to any structural abnormality of the urinary tract. The enuresis may have been present from birth or it may have arisen following a period of acquired bladder control. The enuresis may or may not be associated with a more widespread emotional or behavioural disorder.

Incl.:
Enuresis (primary)(secondary) of nonorganic origin
Functional enuresis
Psychogenic enuresis
Urinary incontinence of nonorganic origin
Excl.:
enuresis NOS (R32)
F98.1 Nonorganic encopresis
Definition

Repeated, voluntary or involuntary passage of faeces, usually of normal or near-normal consistency, in places not appropriate for that purpose in the individual's own sociocultural setting. The condition may represent an abnormal continuation of normal infantile incontinence, it may involve a loss of continence following the acquisition of bowel control, or it may involve the deliberate deposition of faeces in inappropriate places in spite of normal physiological bowel control. The condition may occur as a monosymptomatic disorder, or it may form part of a wider disorder, especially an emotional disorder (F93.-) or a conduct disorder (F91.-).

Incl.:
Functional encopresis
Incontinence of faeces of nonorganic origin
Psychogenic encopresis
Coding-Hint
Use additional code, if desired, to identify the cause of any coexisting constipation.
Excl.:
encopresis NOS (R15)
F98.2 Feeding disorder of infancy and childhood
Definition

A feeding disorder of varying manifestations usually specific to infancy and early childhood. It generally involves food refusal and extreme faddiness in the presence of an adequate food supply, a reasonably competent caregiver, and the absence of organic disease. There may or may not be associated rumination (repeated regurgitation without nausea or gastrointestinal illness).

Incl.:
Rumination disorder of infancy
Excl.:
anorexia nervosa and other eating disorders (F50.-)
feeding:
  • difficulties and mismanagement (R63.3)
  • problems of newborn (P92.-)
pica of infancy or childhood (F98.3)
F98.3 Pica of infancy and childhood
Definition

Persistent eating of non-nutritive substances (such as soil, paint chippings, etc.). It may occur as one of many symptoms that are part of a more widespread psychiatric disorder (such as autism), or as a relatively isolated psychopathological behaviour; only the latter is classified here. The phenomenon is most common in mentally retarded children and, if mental retardation is also present, F70-F79 should be selected as the main diagnosis.

F98.4 Stereotyped movement disorders
Definition

Voluntary, repetitive, stereotyped, nonfunctional (and often rhythmic) movements that do not form part of any recognized psychiatric or neurological condition. When such movements occur as symptoms of some other disorder, only the overall disorder should be recorded. The movements that are of a non self-injurious variety include: body-rocking, head-rocking, hair-plucking, hair-twisting, finger-flicking mannerisms, and hand-flapping. Stereotyped self-injurious behaviour includes repetitive head-banging, face-slapping, eye-poking, and biting of hands, lips or other body parts. All the stereotyped movement disorders occur most frequently in association with mental retardation (when this is the case, both should be recorded). If eye-poking occurs in a child with visual impairment, both should be coded: eye-poking under this category and the visual condition under the appropriate somatic disorder code.

Incl.:
Stereotype/habit disorder
Excl.:
abnormal involuntary movements (R25.-)
movement disorders of organic origin (G20-G25)
nail-biting (F98.8)
nose-picking (F98.8)
stereotypies that are part of a broader psychiatric condition (F00-F95)
thumb-sucking (F98.8)
tic disorders (F95.-)
trichotillomania (F63.3)
F98.5 Stuttering [stammering]
Definition

Speech that is characterized by frequent repetition or prolongation of sounds or syllables or words, or by frequent hesitations or pauses that disrupt the rhythmic flow of speech. It should be classified as a disorder only if its severity is such as to markedly disturb the fluency of speech.

Excl.:
cluttering (F98.6)
tic disorders (F95.-)
F98.6 Cluttering
Definition

A rapid rate of speech with breakdown in fluency, but no repetitions or hesitations, of a severity to give rise to diminished speech intelligibility. Speech is erratic and dysrhythmic, with rapid jerky spurts that usually involve faulty phrasing patterns.

Excl.:
stuttering (F98.5)
tic disorders (F95.-)
F98.8 Other specified behavioural and emotional disorders with onset usually occurring in childhood and adolescence
Incl.:
Attention deficit disorder without hyperactivity
Excessive masturbation
Nail-biting
Nose-picking
Thumb-sucking
F98.9 Unspecified behavioural and emotional disorders with onset usually occurring in childhood and adolescence

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter V
Mental and behavioural disorders
(F00-F99)

F99 Mental disorder, not otherwise specified

Incl.:
Mental illness NOS
Excl.:
organic mental disorder NOS (F06.9)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VI
Diseases of the nervous system
(G00-G99)

G00 Bacterial meningitis, not elsewhere classified

Incl.:
  • arachnoiditis
  • leptomeningitis
  • meningitis
  • pachymeningitis
  • bacterial
Excl.:
bacterial:
  • meningoencephalitis (G04.2)
  • meningomyelitis (G04.2)
G00.0 Haemophilus meningitis
Incl.:
Meningitis due to Haemophilus influenzae
G00.1 Pneumococcal meningitis
G00.2 Streptococcal meningitis
G00.3 Staphylococcal meningitis
G00.8 Other bacterial meningitis
Incl.:
Meningitis due to:
  • Escherichia coli
  • Friedländer bacillus
  • Klebsiella
G00.9 Bacterial meningitis, unspecified
Incl.:
Meningitis:
  • purulent NOS
  • pyogenic NOS
  • suppurative NOS

G01* Meningitis in bacterial diseases classified elsewhere

Incl.:
Meningitis (in):
Excl.:
meningoencephalitis and meningomyelitis in bacterial diseases classified elsewhere (G05.0*)

G02* Meningitis in other infectious and parasitic diseases classified elsewhere

Excl.:
meningoencephalitis and meningomyelitis in other infectious and parasitic diseases classified elsewhere (G05.1-G05.2*)
G02.0* Meningitis in viral diseases classified elsewhere
Incl.:
Meningitis (due to):
G02.1* Meningitis in mycoses
Incl.:
Meningitis (in):
G02.8* Meningitis in other specified infectious and parasitic diseases classified elsewhere
Incl.:
Meningitis due to:

G03 Meningitis due to other and unspecified causes

Incl.:
  • arachnoiditis
  • leptomeningitis
  • meningitis
  • pachymeningitis
  • due to other and unspecified causes
Excl.:
meningoencephalitis (G04.-)
meningomyelitis (G04.-)
G03.0 Nonpyogenic meningitis
Incl.:
Nonbacterial meningitis
G03.1 Chronic meningitis
G03.2 Benign recurrent meningitis [Mollaret]
G03.8 Meningitis due to other specified causes
G03.9 Meningitis, unspecified
Incl.:
Arachnoiditis (spinal) NOS

G04 Encephalitis, myelitis and encephalomyelitis

Incl.:
acute ascending myelitis
meningoencephalitis
meningomyelitis
Excl.:
benign myalgic encephalomyelitis (G93.3)
encephalopathy:
multiple sclerosis (G35)
myelitis:
  • acute transverse (G37.3)
  • subacute necrotizing (G37.4)
G04.0 Acute disseminated encephalitis
Incl.:
  • Encephalitis
  • Encephalomyelitis
  • postimmunization
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify vaccine.
G04.1 Tropical spastic paraplegia
G04.2 Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified
G04.8 Other encephalitis, myelitis and encephalomyelitis
Incl.:
Postinfectious encephalitis and encephalomyelitis NOS
Coding-Hint
Use additional code, if desired, to identify any associated epileptic seizures (G40.-).
G04.9 Encephalitis, myelitis and encephalomyelitis, unspecified
Incl.:
Ventriculitis (cerebral) NOS

G05* Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere

Incl.:
meningoencephalitis and meningomyelitis in diseases classified elsewhere
G05.0* Encephalitis, myelitis and encephalomyelitis in bacterial diseases classified elsewhere
Incl.:
Encephalitis, myelitis or encephalomyelitis (in):
G05.1* Encephalitis, myelitis and encephalomyelitis in viral diseases classified elsewhere
Incl.:
Encephalitis, myelitis or encephalomyelitis (in):
G05.2* Encephalitis, myelitis and encephalomyelitis in other infectious and parasitic diseases classified elsewhere
Incl.:
Encephalitis, myelitis or encephalomyelitis in:
Eosinophilic meningoencephalitis (B83.2†)
G05.8* Encephalitis, myelitis and encephalomyelitis in other diseases classified elsewhere
Incl.:
Encephalitis in systemic lupus erythematosus (M32.1†)

G06 Intracranial and intraspinal abscess and granuloma

Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
G06.0 Intracranial abscess and granuloma
Incl.:
Abscess (embolic)(of):
  • brain [any part]
  • cerebellar
  • cerebral
  • otogenic
Intracranial abscess or granuloma:
  • epidural
  • extradural
  • subdural
G06.1 Intraspinal abscess and granuloma
Incl.:
Abscess (embolic) of spinal cord [any part]
Intraspinal abscess or granuloma:
  • epidural
  • extradural
  • subdural
G06.2 Extradural and subdural abscess, unspecified

G07* Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere

Incl.:
Abscess of brain:
Schistosomiasis granuloma of brain (B65.-†)
Tuberculoma of:

G08 Intracranial and intraspinal phlebitis and thrombophlebitis

Incl.:
  • Septic:
    • embolism
    • endophlebitis
    • phlebitis
    • thrombophlebitis
    • thrombosis
  • of intracranial or intraspinal venous sinuses and veins
Excl.:
intracranial phlebitis and thrombophlebitis:
  • complicating:
    • abortion or ectopic or molar pregnancy (O00-O07, O08.7)
    • pregnancy, childbirth and the puerperium (O22.5, O87.3)
  • of nonpyogenic origin (I67.6)
nonpyogenic intraspinal phlebitis and thrombophlebitis (G95.1)

G09 Sequelae of inflammatory diseases of central nervous system

Note:

Category G09 is to be used to indicate conditions whose primary classification is to G00-G08 (i.e. excluding those marked with an asterisk (*)) as the cause of sequelae, themselves classifiable elsewhere. The "sequelae" include conditions specified as such or as late effects, or those present one year or more after onset of the causal condition. For use of this category reference should be made to the relevant morbidity and mortality coding rules and guidelines in Volume 2.

Not to be used for chronic inflammatory diseases of the central nervous system. Code these to current inflammatory diseases of the central nervous system.

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VI
Diseases of the nervous system
(G00-G99)

G10 Huntington disease

Incl.:
Huntington chorea

G11 Hereditary ataxia

Excl.:
cerebral palsy (G80.-)
hereditary and idiopathic neuropathy (G60.-)
metabolic disorders (E70-E90)
G11.0 Congenital nonprogressive ataxia
G11.1 Early-onset cerebellar ataxia
Note:

Onset usually before the age of 20

Incl.:
Early-onset cerebellar ataxia with:
  • essential tremor
  • myoclonus [Hunt ataxia]
  • retained tendon reflexes
Friedreich ataxia (autosomal recessive)
X-linked recessive spinocerebellar ataxia
G11.2 Late-onset cerebellar ataxia
Note:

Onset usually after the age of 20

G11.3 Cerebellar ataxia with defective DNA repair
Incl.:
Ataxia telangiectasia [Louis-Bar]
Excl.:
Cockayne syndrome (Q87.1)
xeroderma pigmentosum (Q82.1)
G11.4 Hereditary spastic paraplegia
G11.8 Other hereditary ataxias
G11.9 Hereditary ataxia, unspecified
Incl.:
Hereditary cerebellar:
  • ataxia NOS
  • degeneration
  • disease
  • syndrome

G12 Spinal muscular atrophy and related syndromes

G12.0 Infantile spinal muscular atrophy, type I [Werdnig-Hoffman]
G12.1 Other inherited spinal muscular atrophy
Incl.:
Progressive bulbar palsy of childhood [Fazio-Londe]
Spinal muscular atrophy:
  • adult form
  • childhood form, type II
  • distal
  • juvenile form, type III [Kugelberg-Welander]
  • scapuloperoneal form
G12.2 Motor neuron disease
Incl.:
Familial motor neuron disease
Lateral sclerosis:
  • amyotrophic
  • primary
Progressive:
  • bulbar palsy
  • spinal muscular atrophy
G12.8 Other spinal muscular atrophies and related syndromes
G12.9 Spinal muscular atrophy, unspecified

G13* Systemic atrophies primarily affecting central nervous system in diseases classified elsewhere

G13.0* Paraneoplastic neuromyopathy and neuropathy
Incl.:
Carcinomatous neuromyopathy (C00-C97†)
Sensorial paraneoplastic neuropathy [Denny Brown] (C00-D48†)
G13.1* Other systemic atrophy primarily affecting central nervous system in neoplastic disease
Incl.:
Paraneoplastic limbic encephalopathy (C00-D48†)
G13.2* Systemic atrophy primarily affecting central nervous system in myxoedema (E00.1†, E03.-†)
G13.8* Systemic atrophy primarily affecting central nervous system in other diseases classified elsewhere

G14 Postpolio syndrome

Incl.:
Postpolio myelitic syndrome
Excl.:
sequelae of poliomyelitis (B91)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VI
Diseases of the nervous system
(G00-G99)

G20 Parkinson disease

Incl.:
Hemiparkinsonism
Paralysis agitans
Parkinsonism or Parkinson disease:
  • NOS
  • idiopathic
  • primary

G21 Secondary parkinsonism

G21.0 Malignant neuroleptic syndrome
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
G21.1 Other drug-induced secondary parkinsonism
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
G21.2 Secondary parkinsonism due to other external agents
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify external agent.
G21.3 Postencephalitic parkinsonism
G21.4 Vascular parkinsonism
G21.8 Other secondary parkinsonism
G21.9 Secondary parkinsonism, unspecified

G22* Parkinsonism in diseases classified elsewhere

Incl.:
Syphilitic parkinsonism (A52.1†)

G23 Other degenerative diseases of basal ganglia

G23.0 Hallervorden-Spatz disease
Incl.:
Pigmentary pallidal degeneration
G23.1 Progressive supranuclear ophthalmoplegia [Steele-Richardson-Olszewski]
Incl.:
Progressive supranuclear palsy
G23.2 Multiple system atrophy, parkinsonian type [MSA-P]
G23.3 Multiple system atrophy, cerebellar type [MSA-C]
G23.8 Other specified degenerative diseases of basal ganglia
Incl.:
Calcification of basal ganglia
Neurogenic orthostatic hypotension [Shy-Drager]
Excl.:
orthostatic hypotension NOS (I95.1)
G23.9 Degenerative disease of basal ganglia, unspecified

G24 Dystonia

Incl.:
dyskinesia
Excl.:
athetoid cerebral palsy (G80.3)
G24.0 Drug-induced dystonia
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
G24.1 Idiopathic familial dystonia
Incl.:
Idiopathic dystonia NOS
G24.2 Idiopathic nonfamilial dystonia
G24.3 Spasmodic torticollis
Excl.:
torticollis NOS (M43.6)
G24.4 Idiopathic orofacial dystonia
Incl.:
Orofacial dyskinesia
G24.5 Blepharospasm
G24.8 Other dystonia
G24.9 Dystonia, unspecified
Incl.:
Dyskinesia NOS

G25 Other extrapyramidal and movement disorders

G25.0 Essential tremor
Incl.:
Familial tremor
Excl.:
tremor NOS (R25.1)
G25.1 Drug-induced tremor
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
G25.2 Other specified forms of tremor
Incl.:
Intention tremor
G25.3 Myoclonus
Incl.:
Drug-induced myoclonus
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
Excl.:
facial myokymia (G51.4)
myoclonic epilepsy (G40.-)
G25.4 Drug-induced chorea
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
G25.5 Other chorea
Incl.:
Chorea NOS
Excl.:
chorea NOS with heart involvement (I02.0)
Huntington chorea (G10)
rheumatic chorea (I02.-)
Sydenham chorea (I02.-)
G25.6 Drug-induced tics and other tics of organic origin
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
Excl.:
de la Tourette syndrome (F95.2)
tic NOS (F95.9)
G25.8 Other specified extrapyramidal and movement disorders
Incl.:
Akathisia (drug-induced) (treatment-induced)
Restless legs syndrome
Stiff-man syndrome
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced
G25.9 Extrapyramidal and movement disorder, unspecified

G26* Extrapyramidal and movement disorders in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VI
Diseases of the nervous system
(G00-G99)

G30 Alzheimer disease

Incl.:
senile and presenile forms
Excl.:
senile:
  • degeneration of brain NEC (G31.1)
  • dementia NOS (F03)
senility NOS (R54)
G30.0 Alzheimer disease with early onset
Note:

Onset usually before the age of 65

G30.1 Alzheimer disease with late onset
Note:

Onset usually after the age of 65

G30.8 Other Alzheimer disease
G30.9 Alzheimer disease, unspecified

G31 Other degenerative diseases of nervous system, not elsewhere classified

Excl.:
Reye syndrome (G93.7)
G31.0 Circumscribed brain atrophy
Incl.:
Frontotemporal dementia (FTD)
Pick disease
Progressive isolated aphasia
G31.1 Senile degeneration of brain, not elsewhere classified
Excl.:
Alzheimer disease (G30.-)
senility NOS (R54)
G31.2 Degeneration of nervous system due to alcohol
Incl.:
Alcoholic:
  • cerebellar:
    • ataxia
    • degeneration
  • cerebral degeneration
  • encephalopathy
Dysfunction of autonomic nervous system due to alcohol
G31.8 Other specified degenerative diseases of nervous system
Incl.:
Grey-matter degeneration [Alpers]
Lewy body(ies)(dementia)(disease) (F02.8*)
Subacute necrotizing encephalopathy [Leigh]
G31.9 Degenerative disease of nervous system, unspecified

G32* Other degenerative disorders of nervous system in diseases classified elsewhere

G32.0* Subacute combined degeneration of spinal cord in diseases classified elsewhere
Excl.:
Subacute combined degeneration of spinal cord in vitamin B12 deficiency (E53.8†)
G32.8* Other specified degenerative disorders of nervous system in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VI
Diseases of the nervous system
(G00-G99)

G35 Multiple sclerosis

Incl.:
Multiple sclerosis (of):
  • NOS
  • brain stem
  • cord
  • disseminated
  • generalized

G36 Other acute disseminated demyelination

Excl.:
postinfectious encephalitis and encephalomyelitis NOS (G04.8)
G36.0 Neuromyelitis optica [Devic]
Incl.:
Demyelination in optic neuritis
Excl.:
optic neuritis NOS (H46)
G36.1 Acute and subacute haemorrhagic leukoencephalitis [Hurst]
G36.8 Other specified acute disseminated demyelination
G36.9 Acute disseminated demyelination, unspecified

G37 Other demyelinating diseases of central nervous system

G37.0 Diffuse sclerosis
Incl.:
Periaxial encephalitis
Schilder disease
Excl.:
adrenoleukodystrophy [Addison-Schilder] (E71.3)
G37.1 Central demyelination of corpus callosum
G37.2 Central pontine myelinolysis
G37.3 Acute transverse myelitis in demyelinating disease of central nervous system
Incl.:
Acute transverse myelitis NOS
Excl.:
multiple sclerosis (G35)
neuromyelitis optica [Devic] (G36.0)
G37.4 Subacute necrotizing myelitis
G37.5 Concentric sclerosis [Baló]
G37.8 Other specified demyelinating diseases of central nervous system
G37.9 Demyelinating disease of central nervous system, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VI
Diseases of the nervous system
(G00-G99)

G40 Epilepsy

Excl.:
Landau-Kleffner syndrome (F80.3)
seizure (convulsive) NOS (R56.8)
status epilepticus (G41.-)
Todd paralysis (G83.8)
G40.0 Localization-related (focal)(partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset
Incl.:
Benign childhood epilepsy with centrotemporal EEG spikes
Childhood epilepsy with occipital EEG paroxysms
G40.1 Localization-related (focal)(partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures
Incl.:
Attacks without alteration of consciousness
Simple partial seizures developing into secondarily generalized seizures
G40.2 Localization-related (focal)(partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures
Incl.:
Attacks with alteration of consciousness, often with automatisms
Complex partial seizures developing into secondarily generalized seizures
G40.3 Generalized idiopathic epilepsy and epileptic syndromes
Incl.:
Benign:
  • myoclonic epilepsy in infancy
  • neonatal convulsions (familial)
Childhood absence epilepsy [pyknolepsy]
Epilepsy with grand mal seizures on awakening
Juvenile:
  • absence epilepsy
  • myoclonic epilepsy [impulsive petit mal]
Nonspecific epileptic seizures:
  • atonic
  • clonic
  • myoclonic
  • tonic
  • tonic-clonic
G40.4 Other generalized epilepsy and epileptic syndromes
Incl.:
Epilepsy with:
  • myoclonic absences
  • myoclonic-astatic seizures
Infantile spasms
Lennox-Gastaut syndrome
Salaam attacks
Symptomatic early myoclonic encephalopathy
West syndrome
G40.5 Special epileptic syndromes
Incl.:
Epilepsia partialis continua [Kozhevnikof]
Epileptic seizures related to:
  • alcohol
  • drugs
  • hormonal changes
  • sleep deprivation
  • stress
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
G40.6 Grand mal seizures, unspecified (with or without petit mal)
G40.7 Petit mal, unspecified, without grand mal seizures
G40.8 Other epilepsy
Incl.:
Epilepsies and epileptic syndromes undetermined as to whether they are focal or generalized
G40.9 Epilepsy, unspecified
Incl.:
Epileptic:
  • convulsions NOS
  • fits NOS
  • seizures NOS

G41 Status epilepticus

G41.0 Grand mal status epilepticus
Incl.:
Tonic-clonic status epilepticus
Excl.:
epilepsia partialis continua [Kozhevnikof] (G40.5)
G41.1 Petit mal status epilepticus
Incl.:
Epileptic absence status
G41.2 Complex partial status epilepticus
G41.8 Other status epilepticus
G41.9 Status epilepticus, unspecified

G43 Migraine

Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
Excl.:
headache NOS (R51)
G43.0 Migraine without aura [common migraine]
G43.1 Migraine with aura [classical migraine]
Incl.:
Migraine:
  • aura without headache
  • basilar
  • equivalents
  • familial hemiplegic
  • with:
    • acute-onset aura
    • prolonged aura
    • typical aura
G43.2 Status migrainosus
G43.3 Complicated migraine
G43.8 Other migraine
Incl.:
Ophthalmoplegic migraine
Retinal migraine
G43.9 Migraine, unspecified

G44 Other headache syndromes

Excl.:
atypical facial pain (G50.1)
headache NOS (R51)
trigeminal neuralgia (G50.0)
G44.0 Cluster headache syndrome
Incl.:
Chronic paroxysmal hemicrania
Cluster headache:
  • chronic
  • episodic
G44.1 Vascular headache, not elsewhere classified
Incl.:
Vascular headache NOS
G44.2 Tension-type headache
Incl.:
Chronic tension-type headache
Episodic tension headache
Tension headache NOS
G44.3 Chronic post-traumatic headache
G44.4 Drug-induced headache, not elsewhere classified
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
G44.8 Other specified headache syndromes

G45 Transient cerebral ischaemic attacks and related syndromes

Excl.:
neonatal cerebral ischaemia (P91.0)
G45.0 Vertebro-basilar artery syndrome
G45.1 Carotid artery syndrome (hemispheric)
G45.2 Multiple and bilateral precerebral artery syndromes
G45.3 Amaurosis fugax
G45.4 Transient global amnesia
Excl.:
amnesia NOS (R41.3)
G45.8 Other transient cerebral ischaemic attacks and related syndromes
G45.9 Transient cerebral ischaemic attack, unspecified
Incl.:
Spasm of cerebral artery
Transient cerebral ischaemia NOS

G46* Vascular syndromes of brain in cerebrovascular diseases (I60-I67†)

G46.0* Middle cerebral artery syndrome (I66.0†)
G46.1* Anterior cerebral artery syndrome (I66.1†)
G46.2* Posterior cerebral artery syndrome (I66.2†)
G46.3* Brain stem stroke syndrome (I60-I67†)
Incl.:
Syndrome:
  • Benedikt
  • Claude
  • Foville
  • Millard-Gubler
  • Wallenberg
  • Weber
G46.4* Cerebellar stroke syndrome (I60-I67†)
G46.5* Pure motor lacunar syndrome (I60-I67†)
G46.6* Pure sensory lacunar syndrome (I60-I67†)
G46.7* Other lacunar syndromes (I60-I67†)
G46.8* Other vascular syndromes of brain in cerebrovascular diseases (I60-I67†)

G47 Sleep disorders

Excl.:
nightmares (F51.5)
nonorganic sleep disorders (F51.-)
sleep terrors (F51.4)
sleepwalking (F51.3)
G47.0 Disorders of initiating and maintaining sleep [insomnias]
G47.1 Disorders of excessive somnolence [hypersomnias]
G47.2 Disorders of the sleep-wake schedule
Incl.:
Delayed sleep phase syndrome
Irregular sleep-wake pattern
G47.3 Sleep apnoea
Incl.:
Sleep apnoea:
  • central
  • obstructive
Excl.:
pickwickian syndrome (E66.2)
sleep apnoea of newborn (P28.3)
G47.4 Narcolepsy and cataplexy
G47.8 Other sleep disorders
Incl.:
Kleine-Levin syndrome
G47.9 Sleep disorder, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VI
Diseases of the nervous system
(G00-G99)

Nerve, nerve root and plexus disorders
(G50-G59)

Excl.:
current traumatic nerve, nerve root and plexus disorders - see nerve injury by body region
  • neuralgia
  • neuritis
peripheral neuritis in pregnancy (O26.8)
radiculitis NOS (M54.1)

G50 Disorders of trigeminal nerve

Incl.:
disorders of 5th cranial nerve
G50.0 Trigeminal neuralgia
Incl.:
Syndrome of paroxysmal facial pain
Tic douloureux
G50.1 Atypical facial pain
G50.8 Other disorders of trigeminal nerve
G50.9 Disorder of trigeminal nerve, unspecified

G51 Facial nerve disorders

Incl.:
disorders of 7th cranial nerve
G51.0 Bell palsy
Incl.:
Facial palsy
G51.1 Geniculate ganglionitis
Excl.:
postherpetic geniculate ganglionitis (B02.2)
G51.2 Melkersson syndrome
Incl.:
Melkersson-Rosenthal syndrome
G51.3 Clonic hemifacial spasm
G51.4 Facial myokymia
G51.8 Other disorders of facial nerve
G51.9 Disorder of facial nerve, unspecified

G52 Disorders of other cranial nerves

Excl.:
disorders of:
paralytic strabismus due to nerve palsy (H49.0-H49.2)
G52.0 Disorders of olfactory nerve
Incl.:
Disorder of 1st cranial nerve
G52.1 Disorders of glossopharyngeal nerve
Incl.:
Disorder of 9th cranial nerve
Glossopharyngeal neuralgia
G52.2 Disorders of vagus nerve
Incl.:
Disorder of pneumogastric [10th] nerve
G52.3 Disorders of hypoglossal nerve
Incl.:
Disorder of 12th cranial nerve
G52.7 Disorders of multiple cranial nerves
Incl.:
Polyneuritis cranialis
G52.8 Disorders of other specified cranial nerves
G52.9 Cranial nerve disorder, unspecified

G53* Cranial nerve disorders in diseases classified elsewhere

G53.0* Postzoster neuralgia (B02.2†)
Incl.:
Postherpetic:
  • geniculate ganglionitis
  • trigeminal neuralgia
G53.1* Multiple cranial nerve palsies in infectious and parasitic diseases classified elsewhere (A00-B99†)
G53.2* Multiple cranial nerve palsies in sarcoidosis (D86.8†)
G53.3* Multiple cranial nerve palsies in neoplastic disease (C00-D48†)
G53.8* Other cranial nerve disorders in other diseases classified elsewhere

G54 Nerve root and plexus disorders

Excl.:
current traumatic nerve root and plexus disorders - see nerve injury by body region
intervertebral disc disorders (M50-M51)
neuralgia or neuritis NOS (M79.2)
neuritis or radiculitis:
radiculitis NOS (M54.1)
radiculopathy NOS (M54.1)
spondylosis (M47.-)
G54.0 Brachial plexus disorders
Incl.:
Thoracic outlet syndrome
G54.1 Lumbosacral plexus disorders
G54.2 Cervical root disorders, not elsewhere classified
G54.3 Thoracic root disorders, not elsewhere classified
G54.4 Lumbosacral root disorders, not elsewhere classified
G54.5 Neuralgic amyotrophy
Incl.:
Parsonage-Aldren-Turner syndrome
Shoulder-girdle neuritis
G54.6 Phantom limb syndrome with pain
G54.7 Phantom limb syndrome without pain
Incl.:
Phantom limb syndrome NOS
G54.8 Other nerve root and plexus disorders
G54.9 Nerve root and plexus disorder, unspecified

G55* Nerve root and plexus compressions in diseases classified elsewhere

G55.0* Nerve root and plexus compressions in neoplastic disease (C00-D48†)
G55.1* Nerve root and plexus compressions in intervertebral disc disorders (M50-M51†)
G55.2* Nerve root and plexus compressions in spondylosis (M47.-†)
G55.3* Nerve root and plexus compressions in other dorsopathies (M45-M46†, M48.-†, M53-M54†)
G55.8* Nerve root and plexus compressions in other diseases classified elsewhere

G56 Mononeuropathies of upper limb

Excl.:
current traumatic nerve disorder - see nerve injury by body region
G56.0 Carpal tunnel syndrome
G56.1 Other lesions of median nerve
G56.2 Lesion of ulnar nerve
Incl.:
Tardy ulnar nerve palsy
G56.3 Lesion of radial nerve
G56.4 Causalgia
G56.8 Other mononeuropathies of upper limb
Incl.:
Interdigital neuroma of upper limb
G56.9 Mononeuropathy of upper limb, unspecified

G57 Mononeuropathies of lower limb

Excl.:
current traumatic nerve disorder - see nerve injury by body region
G57.0 Lesion of sciatic nerve
Excl.:
sciatica:
  • NOS (M54.3)
  • attributed to intervertebral disc disorder (M51.1)
G57.1 Meralgia paraesthetica
Incl.:
Lateral cutaneous nerve of thigh syndrome
G57.2 Lesion of femoral nerve
G57.3 Lesion of lateral popliteal nerve
Incl.:
Peroneal nerve palsy
G57.4 Lesion of medial popliteal nerve
G57.5 Tarsal tunnel syndrome
G57.6 Lesion of plantar nerve
Incl.:
Morton metatarsalgia
G57.8 Other mononeuropathies of lower limb
Incl.:
Interdigital neuroma of lower limb
G57.9 Mononeuropathy of lower limb, unspecified

G58 Other mononeuropathies

G58.0 Intercostal neuropathy
G58.7 Mononeuritis multiplex
G58.8 Other specified mononeuropathies
G58.9 Mononeuropathy, unspecified

G59* Mononeuropathy in diseases classified elsewhere

G59.8* Other mononeuropathies in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VI
Diseases of the nervous system
(G00-G99)

Polyneuropathies and other disorders of the peripheral nervous system
(G60-G64)

Excl.:
neuralgia NOS (M79.2)
neuritis NOS (M79.2)
peripheral neuritis in pregnancy (O26.8)
radiculitis NOS (M54.1)

G60 Hereditary and idiopathic neuropathy

G60.0 Hereditary motor and sensory neuropathy
Incl.:
Disease:
  • Charcot-Marie-Tooth
  • Déjerine-Sottas
Hereditary motor and sensory neuropathy, types I-IV
Hypertrophic neuropathy of infancy
Peroneal muscular atrophy (axonal type)(hypertrophic type)
Roussy-Lévy syndrome
G60.1 Refsum disease
G60.2 Neuropathy in association with hereditary ataxia
G60.3 Idiopathic progressive neuropathy
G60.8 Other hereditary and idiopathic neuropathies
Incl.:
Morvan disease
Nelaton syndrome
Sensory neuropathy:
  • dominantly inherited
  • recessively inherited
G60.9 Hereditary and idiopathic neuropathy, unspecified

G61 Inflammatory polyneuropathy

G61.0 Guillain-Barré syndrome
Incl.:
Acute (post-)infective polyneuritis
Miller Fisher Syndrome
G61.1 Serum neuropathy
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
G61.8 Other inflammatory polyneuropathies
G61.9 Inflammatory polyneuropathy, unspecified

G62 Other polyneuropathies

G62.0 Drug-induced polyneuropathy
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
G62.1 Alcoholic polyneuropathy
G62.2 Polyneuropathy due to other toxic agents
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify toxic agent.
G62.8 Other specified polyneuropathies
Incl.:
Radiation-induced polyneuropathy
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
G62.9 Polyneuropathy, unspecified
Incl.:
Neuropathy NOS

G63* Polyneuropathy in diseases classified elsewhere

G63.0* Polyneuropathy in infectious and parasitic diseases classified elsewhere
Incl.:
Polyneuropathy (in):
G63.1* Polyneuropathy in neoplastic disease (C00-D48†)
G63.3* Polyneuropathy in other endocrine and metabolic diseases (E00-E07†, E15-E16†, E20-E34†, E70-E89†)
G63.4* Polyneuropathy in nutritional deficiency (E40-E64†)
G63.5* Polyneuropathy in systemic connective tissue disorders (M30-M35†)
G63.6* Polyneuropathy in other musculoskeletal disorders (M00-M25†, M40-M96†)
G63.8* Polyneuropathy in other diseases classified elsewhere
Incl.:
Uraemic neuropathy (N18.5†)

G64 Other disorders of peripheral nervous system

Incl.:
Disorder of peripheral nervous system NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VI
Diseases of the nervous system
(G00-G99)

G70 Myasthenia gravis and other myoneural disorders

Excl.:
botulism (A05.1)
transient neonatal myasthenia gravis (P94.0)
G70.0 Myasthenia gravis
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
G70.1 Toxic myoneural disorders
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify toxic agent.
G70.2 Congenital and developmental myasthenia
G70.8 Other specified myoneural disorders
G70.9 Myoneural disorder, unspecified

G71 Primary disorders of muscles

Excl.:
arthrogryposis multiplex congenita (Q74.3)
metabolic disorders (E70-E90)
myositis (M60.-)
G71.0 Muscular dystrophy
Incl.:
Muscular dystrophy:
  • autosomal recessive, childhood type, resembling Duchenne or Becker
  • benign [Becker]
  • benign scapuloperoneal with early contractures [Emery-Dreifuss]
  • distal
  • facioscapulohumeral
  • limb-girdle
  • ocular
  • oculopharyngeal
  • scapuloperoneal
  • severe [Duchenne]
Excl.:
congenital muscular dystrophy:
  • NOS (G71.2)
  • with specific morphological abnormalities of the muscle fibre (G71.2)
G71.1 Myotonic disorders
Incl.:
Dystrophia myotonica [Steinert]
Myotonia:
  • chondrodystrophic
  • drug-induced
  • symptomatic
Myotonia congenita:
  • NOS
  • dominant [Thomsen]
  • recessive [Becker]
Neuromyotonia [Isaacs]
Paramyotonia congenita
Pseudomyotonia
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
G71.2 Congenital myopathies
Incl.:
Congenital muscular dystrophy:
  • NOS
  • with specific morphological abnormalities of the muscle fibre
Disease:
  • central core
  • minicore
  • multicore
Fibre-type disproportion
Myopathy:
  • myotubular (centronuclear)
  • nemaline
G71.3 Mitochondrial myopathy, not elsewhere classified
G71.8 Other primary disorders of muscles
G71.9 Primary disorder of muscle, unspecified
Incl.:
Hereditary myopathy NOS

G72 Other myopathies

Excl.:
arthrogryposis multiplex congenita (Q74.3)
dermatopolymyositis (M33.-)
ischaemic infarction of muscle (M62.2)
myositis (M60.-)
polymyositis (M33.2)
G72.0 Drug-induced myopathy
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
G72.1 Alcoholic myopathy
G72.2 Myopathy due to other toxic agents
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify toxic agent.
G72.3 Periodic paralysis
Incl.:
Periodic paralysis (familial):
  • hyperkalaemic
  • hypokalaemic
  • myotonic
  • normokalaemic
G72.4 Inflammatory myopathy, not elsewhere classified
G72.8 Other specified myopathies
G72.9 Myopathy, unspecified

G73* Disorders of myoneural junction and muscle in diseases classified elsewhere

G73.0* Myasthenic syndromes in endocrine diseases
Incl.:
Myasthenic syndromes in:
G73.1* Lambert-Eaton syndrome (C00-D48†)
G73.2* Other myasthenic syndromes in neoplastic disease (C00-D48†)
G73.3* Myasthenic syndromes in other diseases classified elsewhere
G73.4* Myopathy in infectious and parasitic diseases classified elsewhere
G73.5* Myopathy in endocrine diseases
Incl.:
Myopathy in:
Thyrotoxic myopathy (E05.-†)
G73.6* Myopathy in metabolic diseases
Incl.:
Myopathy in:
G73.7* Myopathy in other diseases classified elsewhere
Incl.:
Myopathy in:

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VI
Diseases of the nervous system
(G00-G99)

G80 Cerebral palsy

Excl.:
hereditary spastic paraplegia (G11.4)
G80.0 Spastic quadriplegic cerebral palsy
Incl.:
Spastic tetraplegic cerebral palsy
G80.1 Spastic diplegic cerebral palsy
Incl.:
Congenital spastic paralysis (cerebral)
Spastic cerebral palsy NOS
G80.2 Spastic hemiplegic cerebral palsy
G80.3 Dyskinetic cerebral palsy
Incl.:
Athetoid cerebral palsy
Dystonic cerebral palsy
G80.4 Ataxic cerebral palsy
G80.8 Other cerebral palsy
Incl.:
Mixed cerebral palsy syndromes
G80.9 Cerebral palsy, unspecified
Incl.:
Cerebral palsy NOS

G81 Hemiplegia

Note:

For primary coding, this category is to be used only when hemiplegia (complete) (incomplete) is reported without further specification, or is stated to be old or longstanding but of unspecified cause. The category is also for use in multiple coding to identify these types of hemiplegia resulting from any cause.

Excl.:
congenital cerebral palsy (G80.-)
G81.0 Flaccid hemiplegia
G81.1 Spastic hemiplegia
G81.9 Hemiplegia, unspecified

G82 Paraplegia and tetraplegia

Note:

For primary coding, this category is to be used only when the listed conditions are reported without further specification, or are stated to be old or longstanding but of unspecified cause. The category is also for use in multiple coding to identify these conditions resulting from any cause.

Excl.:
congenital cerebral palsy (G80.-)
G82.0 Flaccid paraplegia
G82.1 Spastic paraplegia
G82.2 Paraplegia, unspecified
Incl.:
Paralysis of both lower limbs NOS
Paraplegia (lower) NOS
G82.3 Flaccid tetraplegia
G82.4 Spastic tetraplegia
G82.5 Tetraplegia, unspecified
Incl.:
Quadriplegia NOS

G83 Other paralytic syndromes

Note:

For primary coding, this category is to be used only when the listed conditions are reported without further specification, or are stated to be old or longstanding but of unspecified cause. The category is also for use in multiple coding to identify these conditions resulting from any cause.

Incl.:
paralysis (complete)(incomplete), except as in G80-G82
G83.0 Diplegia of upper limbs
Incl.:
Diplegia (upper)
Paralysis of both upper limbs
G83.1 Monoplegia of lower limb
Incl.:
Paralysis of lower limb
G83.2 Monoplegia of upper limb
Incl.:
Paralysis of upper limb
G83.3 Monoplegia, unspecified
G83.4 Cauda equina syndrome
Incl.:
Neurogenic bladder due to cauda equina syndrome
Excl.:
cord bladder NOS (G95.8)
G83.5 Locked-in syndrome
G83.8 Other specified paralytic syndromes
Incl.:
Todd paralysis (postepileptic)
G83.9 Paralytic syndrome, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VI
Diseases of the nervous system
(G00-G99)

G90 Disorders of autonomic nervous system

Excl.:
dysfunction of autonomic nervous system due to alcohol (G31.2)
G90.0 Idiopathic peripheral autonomic neuropathy
Incl.:
Carotid sinus syncope
G90.1 Familial dysautonomia [Riley-Day]
G90.2 Horner syndrome
Incl.:
Bernard(-Horner) syndrome
G90.4 Autonomic dysreflexia
G90.8 Other disorders of autonomic nervous system
G90.9 Disorder of autonomic nervous system, unspecified

G91 Hydrocephalus

Incl.:
acquired hydrocephalus
Excl.:
hydrocephalus:
  • acquired, of newborn (P91.7)
  • congenital (Q03.-)
  • due to congenital toxoplasmosis (P37.1)
G91.0 Communicating hydrocephalus
G91.1 Obstructive hydrocephalus
G91.2 Normal-pressure hydrocephalus
G91.3 Post-traumatic hydrocephalus, unspecified
G91.8 Other hydrocephalus
G91.9 Hydrocephalus, unspecified

G92 Toxic encephalopathy

Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify toxic agent.

G93 Other disorders of brain

G93.0 Cerebral cysts
Incl.:
Arachnoid cyst
Porencephalic cyst, acquired
Excl.:
acquired periventricular cysts of newborn (P91.1)
congenital cerebral cysts (Q04.6)
G93.1 Anoxic brain damage, not elsewhere classified
Excl.:
complicating:
neonatal anoxia (P21.9)
G93.2 Benign intracranial hypertension
Excl.:
hypertensive encephalopathy (I67.4)
G93.3 Postviral fatigue syndrome
Incl.:
Benign myalgic encephalomyelitis
G93.4 Encephalopathy, unspecified
Excl.:
encephalopathy:
G93.5 Compression of brain
Incl.:
  • Compression
  • Herniation
  • of brain (stem)
Excl.:
traumatic compression of brain (diffuse) (S06.2)
traumatic compression of brain (diffuse)
G93.6 Cerebral oedema
Excl.:
cerebral oedema:
G93.7 Reye syndrome
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
G93.8 Other specified disorders of brain
Incl.:
Postradiation encephalopathy
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
G93.9 Disorder of brain, unspecified

G94* Other disorders of brain in diseases classified elsewhere

G94.0* Hydrocephalus in infectious and parasitic diseases classified elsewhere (A00-B99†)
G94.1* Hydrocephalus in neoplastic disease (C00-D48†)
G94.2* Hydrocephalus in other diseases classified elsewhere
G94.8* Other specified disorders of brain in diseases classified elsewhere

G95 Other diseases of spinal cord

Excl.:
myelitis (G04.-)
G95.0 Syringomyelia and syringobulbia
G95.1 Vascular myelopathies
Incl.:
Acute infarction of spinal cord (embolic)(nonembolic)
Arterial thrombosis of spinal cord
Haematomyelia
Nonpyogenic intraspinal phlebitis and thrombophlebitis
Oedema of spinal cord
Subacute necrotic myelopathy
Excl.:
intraspinal phlebitis and thrombophlebitis, except non-pyogenic (G08)
G95.2 Cord compression, unspecified
G95.8 Other specified diseases of spinal cord
Incl.:
Cord bladder NOS
Myelopathy:
  • drug-induced
  • radiation-induced
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify external agent.
Excl.:
neurogenic bladder:
  • NOS (N31.9)
  • due to cauda equina syndrome (G83.4)
neuromuscular dysfunction of bladder without mention of spinal cord lesion (N31.-)
G95.9 Disease of spinal cord, unspecified
Incl.:
Myelopathy NOS

G96 Other disorders of central nervous system

G96.0 Cerebrospinal fluid leak
Excl.:
from spinal puncture (G97.0)
G96.1 Disorders of meninges, not elsewhere classified
Incl.:
Meningeal adhesions (cerebral)(spinal)
G96.8 Other specified disorders of central nervous system
G96.9 Disorder of central nervous system, unspecified

G97 Postprocedural disorders of nervous system, not elsewhere classified

G97.0 Cerebrospinal fluid leak from spinal puncture
G97.1 Other reaction to spinal and lumbar puncture
G97.2 Intracranial hypotension following ventricular shunting
G97.8 Other postprocedural disorders of nervous system
G97.9 Postprocedural disorder of nervous system, unspecified

G98 Other disorders of nervous system, not elsewhere classified

Incl.:
Nervous system disorder NOS

G99* Other disorders of nervous system in diseases classified elsewhere

G99.0* Autonomic neuropathy in endocrine and metabolic diseases
Incl.:
Amyloid autonomic neuropathy (E85.-†)
Diabetic autonomic neuropathy (E10-E14 with common fourth character .4†)
G99.1* Other disorders of autonomic nervous system in other diseases classified elsewhere
G99.2* Myelopathy in diseases classified elsewhere
Incl.:
Anterior spinal and vertebral artery compression syndromes (M47.0†)
Myelopathy in:
G99.8* Other specified disorders of nervous system in diseases classified elsewhere
Incl.:
Uraemic paralysis (N18.5†)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VII
Diseases of the eye and adnexa
(H00-H59)

H00 Hordeolum and chalazion

H00.0 Hordeolum and other deep inflammation of eyelid
Incl.:
  • Abscess
  • Furuncle
  • Stye
  • of eyelid
H00.1 Chalazion

H01 Other inflammation of eyelid

H01.0 Blepharitis
Excl.:
blepharoconjunctivitis (H10.5)
H01.1 Noninfectious dermatoses of eyelid
Incl.:
  • Dermatitis:
    • allergic
    • contact
    • eczematous
  • Discoid lupus erythematosus
  • Xeroderma
  • of eyelid
H01.8 Other specified inflammation of eyelid
H01.9 Inflammation of eyelid, unspecified

H02 Other disorders of eyelid

Excl.:
congenital malformations of eyelid (Q10.0-Q10.3)
H02.0 Entropion and trichiasis of eyelid
H02.1 Ectropion of eyelid
H02.2 Lagophthalmos
H02.3 Blepharochalasis
H02.4 Ptosis of eyelid
H02.5 Other disorders affecting eyelid function
Incl.:
Ankyloblepharon
Blepharophimosis
Lid retraction
Excl.:
blepharospasm (G24.5)
tic (psychogenic) (F95.-)
tic (psychogenic)
H02.6 Xanthelasma of eyelid
H02.7 Other degenerative disorders of eyelid and periocular area
Incl.:
  • Chloasma
  • Madarosis
  • Vitiligo
  • of eyelid
H02.8 Other specified disorders of eyelid
Incl.:
Hypertrichosis of eyelid
Retained foreign body in eyelid
H02.9 Disorder of eyelid, unspecified

H03* Disorders of eyelid in diseases classified elsewhere

H03.0* Parasitic infestation of eyelid in diseases classified elsewhere
Incl.:
Dermatitis of eyelid due to Demodex species (B88.0†)
Parasitic infestation of eyelid in:
H03.1* Involvement of eyelid in other infectious diseases classified elsewhere
Incl.:
Involvement of eyelid in:
H03.8* Involvement of eyelid in other diseases classified elsewhere
Incl.:
Involvement of eyelid in impetigo (L01.0†)

H04 Disorders of lacrimal system

Excl.:
congenital malformations of lacrimal system (Q10.4-Q10.6)
H04.0 Dacryoadenitis
Incl.:
Chronic enlargement of lacrimal gland
H04.1 Other disorders of lacrimal gland
Incl.:
Dacryops
Dry eye syndrome
Lacrimal:
  • cyst
  • gland atrophy
H04.2 Epiphora
H04.3 Acute and unspecified inflammation of lacrimal passages
Incl.:
  • Dacryocystitis (phlegmonous)
  • Dacryopericystitis
  • Lacrimal canaliculitis
  • acute, subacute or unspecified
Excl.:
neonatal dacryocystitis (P39.1)
H04.4 Chronic inflammation of lacrimal passages
Incl.:
  • Dacryocystitis
  • Lacrimal:
    • canaliculitis
    • mucocele
  • chronic
H04.5 Stenosis and insufficiency of lacrimal passages
Incl.:
Dacryolith
Eversion of lacrimal punctum
Stenosis of lacrimal:
  • canaliculi
  • duct
  • sac
H04.6 Other changes in lacrimal passages
Incl.:
Lacrimal fistula
H04.8 Other disorders of lacrimal system
H04.9 Disorder of lacrimal system, unspecified

H05 Disorders of orbit

Excl.:
congenital malformation of orbit (Q10.7)
H05.0 Acute inflammation of orbit
Incl.:
  • Abscess
  • Cellulitis
  • Osteomyelitis
  • Periostitis
  • of orbit
Tenonitis
H05.1 Chronic inflammatory disorders of orbit
Incl.:
Granuloma of orbit
H05.2 Exophthalmic conditions
Incl.:
Displacement of globe (lateral) NOS
  • Haemorrhage
  • Oedema
  • of orbit
H05.3 Deformity of orbit
Incl.:
  • Atrophy
  • Exostosis
  • of orbit
H05.4 Enophthalmos
H05.5 Retained (old) foreign body following penetrating wound of orbit
Incl.:
Retrobulbar foreign body
H05.8 Other disorders of orbit
Incl.:
Cyst of orbit
H05.9 Disorder of orbit, unspecified

H06* Disorders of lacrimal system and orbit in diseases classified elsewhere

H06.0* Disorders of lacrimal system in diseases classified elsewhere
H06.1* Parasitic infestation of orbit in diseases classified elsewhere
Incl.:
Echinococcus infection of orbit (B67.-†)
Myiasis of orbit (B87.2†)
H06.2* Dysthyroid exophthalmos (E05.-†)
H06.3* Other disorders of orbit in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VII
Diseases of the eye and adnexa
(H00-H59)

H10 Conjunctivitis

Excl.:
keratoconjunctivitis (H16.2)
H10.0 Mucopurulent conjunctivitis
H10.1 Acute atopic conjunctivitis
H10.2 Other acute conjunctivitis
H10.3 Acute conjunctivitis, unspecified
Excl.:
ophthalmia neonatorum NOS (P39.1)
H10.4 Chronic conjunctivitis
H10.5 Blepharoconjunctivitis
H10.8 Other conjunctivitis
H10.9 Conjunctivitis, unspecified

H11 Other disorders of conjunctiva

Excl.:
keratoconjunctivitis (H16.2)
H11.0 Pterygium
Excl.:
pseudopterygium (H11.8)
H11.1 Conjunctival degenerations and deposits
Incl.:
Conjunctival:
  • argyrosis [argyria]
  • concretions
  • pigmentation
  • xerosis NOS
H11.2 Conjunctival scars
Incl.:
Symblepharon
H11.3 Conjunctival haemorrhage
Incl.:
Subconjunctival haemorrhage
H11.4 Other conjunctival vascular disorders and cysts
Incl.:
Conjunctival:
  • aneurysm
  • hyperaemia
  • oedema
H11.8 Other specified disorders of conjunctiva
Incl.:
Pseudopterygium
H11.9 Disorder of conjunctiva, unspecified

H13* Disorders of conjunctiva in diseases classified elsewhere

H13.0* Filarial infection of conjunctiva (B74.-†)
H13.1* Conjunctivitis in infectious and parasitic diseases classified elsewhere
Incl.:
Conjunctivitis (due to):
H13.2* Conjunctivitis in other diseases classified elsewhere
H13.3* Ocular pemphigoid (L12.-†)
H13.8* Other disorders of conjunctiva in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VII
Diseases of the eye and adnexa
(H00-H59)

H15 Disorders of sclera

H15.0 Scleritis
H15.1 Episcleritis
H15.8 Other disorders of sclera
Incl.:
Equatorial staphyloma
Scleral ectasia
Excl.:
degenerative myopia (H44.2)
H15.9 Disorder of sclera, unspecified

H16 Keratitis

H16.0 Corneal ulcer
Incl.:
Ulcer:
  • corneal:
    • NOS
    • central
    • marginal
    • perforated
    • ring
    • with hypopyon
  • Mooren
H16.1 Other superficial keratitis without conjunctivitis
Incl.:
Keratitis:
  • areolar
  • filamentary
  • nummular
  • stellate
  • striate
  • superficial punctate
Photokeratitis
Snow blindness
H16.2 Keratoconjunctivitis
Incl.:
Keratoconjunctivitis:
  • NOS
  • exposure
  • neurotrophic
  • phlyctenular
Ophthalmia nodosa
Superficial keratitis with conjunctivitis
H16.3 Interstitial and deep keratitis
H16.4 Corneal neovascularization
Incl.:
Ghost vessels (corneal)
Pannus (corneal)
H16.8 Other keratitis
H16.9 Keratitis, unspecified

H17 Corneal scars and opacities

H17.0 Adherent leukoma
H17.1 Other central corneal opacity
H17.8 Other corneal scars and opacities
H17.9 Corneal scar and opacity, unspecified

H18 Other disorders of cornea

H18.0 Corneal pigmentations and deposits
Incl.:
Haematocornea
Kayser-Fleischer ring
Krukenberg spindle
Staehli line
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
H18.1 Bullous keratopathy
H18.2 Other corneal oedema
H18.3 Changes in corneal membranes
Incl.:
  • Fold
  • Rupture
  • in Descemet membrane
H18.4 Corneal degeneration
Incl.:
Arcus senilis
Band keratopathy
Excl.:
Mooren ulcer (H16.0)
H18.5 Hereditary corneal dystrophies
Incl.:
Dystrophy:
  • corneal:
    • epithelial
    • granular
    • lattice
    • macular
  • Fuchs
H18.6 Keratoconus
H18.7 Other corneal deformities
Incl.:
Corneal:
  • ectasia
  • staphyloma
Descemetocele
Excl.:
congenital malformations of cornea (Q13.3-Q13.4)
H18.8 Other specified disorders of cornea
Incl.:
  • Anaesthesia
  • Hypaesthesia
  • Recurrent erosion
  • of cornea
H18.9 Disorder of cornea, unspecified

H19* Disorders of sclera and cornea in diseases classified elsewhere

H19.0* Scleritis and episcleritis in diseases classified elsewhere
Incl.:
Syphilitic episcleritis (A52.7†)
Tuberculous episcleritis (A18.5†)
Zoster scleritis (B02.3†)
H19.1* Herpesviral keratitis and keratoconjunctivitis (B00.5†)
Incl.:
Dendritic and disciform keratitis
H19.2* Keratitis and keratoconjunctivitis in other infectious and parasitic diseases classified elsewhere
Incl.:
Epidemic keratoconjunctivitis (B30.0†)
Keratitis and keratoconjunctivitis (interstitial) in:
H19.3* Keratitis and keratoconjunctivitis in other diseases classified elsewhere
Incl.:
Keratoconjunctivitis sicca (M35.0†)
H19.8* Other disorders of sclera and cornea in diseases classified elsewhere
Incl.:
Keratoconus in Down syndrome (Q90.-†)

H20 Iridocyclitis

H20.0 Acute and subacute iridocyclitis
Incl.:
  • Anterior uveitis
  • Cyclitis
  • Iritis
  • acute, recurrent or subacute
H20.1 Chronic iridocyclitis
H20.2 Lens-induced iridocyclitis
H20.8 Other iridocyclitis
H20.9 Iridocyclitis, unspecified

H21 Other disorders of iris and ciliary body

Excl.:
sympathetic uveitis (H44.1)
H21.0 Hyphaema
Excl.:
traumatic hyphaema (S05.1)
H21.1 Other vascular disorders of iris and ciliary body
Incl.:
Neovascularization of iris or ciliary body
Rubeosis of iris
H21.2 Degeneration of iris and ciliary body
Incl.:
Degeneration of:
  • iris (pigmentary)
  • pupillary margin
Iridoschisis
Iris atrophy (essential)(progressive)
Miotic pupillary cyst
Translucency of iris
H21.3 Cyst of iris, ciliary body and anterior chamber
Incl.:
Cyst of iris, ciliary body or anterior chamber:
  • NOS
  • exudative
  • implantation
  • parasitic
Excl.:
miotic pupillary cyst (H21.2)
H21.4 Pupillary membranes
Incl.:
Iris bombé
Pupillary:
  • occlusion
  • seclusion
H21.5 Other adhesions and disruptions of iris and ciliary body
Incl.:
Goniosynechiae
Iridodialysis
Recession, chamber angle
Synechiae (iris):
  • NOS
  • anterior
  • posterior
Excl.:
corectopia (Q13.2)
H21.8 Other specified disorders of iris and ciliary body
H21.9 Disorder of iris and ciliary body, unspecified

H22* Disorders of iris and ciliary body in diseases classified elsewhere

H22.0* Iridocyclitis in infectious and parasitic diseases classified elsewhere
Incl.:
Iridocyclitis in:
H22.1* Iridocyclitis in other diseases classified elsewhere
Incl.:
Iridocyclitis in:
H22.8* Other disorders of iris and ciliary body in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VII
Diseases of the eye and adnexa
(H00-H59)

H25 Senile cataract

Excl.:
capsular glaucoma with pseudoexfoliation of lens (H40.1)
H25.0 Senile incipient cataract
Incl.:
Senile cataract:
  • coronary
  • cortical
  • punctate
Subcapsular polar senile cataract (anterior)(posterior)
Water clefts
H25.1 Senile nuclear cataract
Incl.:
Cataracta brunescens
Nuclear sclerosis cataract
H25.2 Senile cataract, morgagnian type
Incl.:
Senile hypermature cataract
H25.8 Other senile cataract
Incl.:
Combined forms of senile cataract
H25.9 Senile cataract, unspecified

H26 Other cataract

Excl.:
congenital cataract (Q12.0)
H26.0 Infantile, juvenile and presenile cataract
H26.1 Traumatic cataract
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
H26.2 Complicated cataract
Incl.:
Cataract in chronic iridocyclitis
Cataract secondary to ocular disorders
Glaucomatous flecks (subcapsular)
H26.3 Drug-induced cataract
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
H26.4 After-cataract
Incl.:
Secondary cataract
Soemmerring ring
H26.8 Other specified cataract
H26.9 Cataract, unspecified

H27 Other disorders of lens

Excl.:
congenital lens malformations (Q12.-)
mechanical complications of intraocular lens (T85.2)
pseudophakia (Z96.1)
H27.0 Aphakia
H27.1 Dislocation of lens
H27.8 Other specified disorders of lens
H27.9 Disorder of lens, unspecified

H28* Cataract and other disorders of lens in diseases classified elsewhere

H28.1* Cataract in other endocrine, nutritional and metabolic diseases
Incl.:
Cataract in hypoparathyroidism (E20.-†)
Malnutrition-dehydration cataract (E40-E46†)
H28.2* Cataract in other diseases classified elsewhere
Incl.:
Myotonic cataract (G71.1†)
H28.8* Other disorders of lens in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VII
Diseases of the eye and adnexa
(H00-H59)

H30 Chorioretinal inflammation

H30.0 Focal chorioretinal inflammation
Incl.:
Focal:
  • chorioretinitis
  • choroiditis
  • retinitis
  • retinochoroiditis
H30.1 Disseminated chorioretinal inflammation
Incl.:
Disseminated:
  • chorioretinitis
  • choroiditis
  • retinitis
  • retinochoroiditis
Excl.:
exudative retinopathy (H35.0)
H30.2 Posterior cyclitis
Incl.:
Pars planitis
H30.8 Other chorioretinal inflammations
Incl.:
Harada disease
H30.9 Chorioretinal inflammation, unspecified
Incl.:
  • Chorioretinitis
  • Choroiditis
  • Retinitis
  • Retinochoroiditis
  • NOS

H31 Other disorders of choroid

H31.0 Chorioretinal scars
Incl.:
Macula scars of posterior pole (postinflammatory)(post-traumatic)
Solar retinopathy
H31.1 Choroidal degeneration
Incl.:
  • Atrophy
  • Sclerosis
  • of choroid
Excl.:
angioid streaks (H35.3)
H31.2 Hereditary choroidal dystrophy
Incl.:
Choroideremia
Dystrophy, choroidal (central areolar)(generalized)(peripapillary)
Gyrate atrophy, choroid
Excl.:
ornithinaemia (E72.4)
H31.3 Choroidal haemorrhage and rupture
Incl.:
Choroidal haemorrhage:
  • NOS
  • expulsive
H31.4 Choroidal detachment
H31.8 Other specified disorders of choroid
Incl.:
Choroidal neovascularization
H31.9 Disorder of choroid, unspecified

H32* Chorioretinal disorders in diseases classified elsewhere

H32.0* Chorioretinal inflammation in infectious and parasitic diseases classified elsewhere
Incl.:
Chorioretinitis:
H32.8* Other chorioretinal disorders in diseases classified elsewhere
Incl.:
Albuminuric retinitis (N18.5†)
Renal retinitis (N18.5†)

H33 Retinal detachments and breaks

Excl.:
detachment of retinal pigment epithelium (H35.7)
H33.0 Retinal detachment with retinal break
Incl.:
Rhegmatogenous retinal detachment
H33.1 Retinoschisis and retinal cysts
Incl.:
Cyst of ora serrata
Parasitic cyst of retina NOS
Pseudocyst of retina
Excl.:
congenital retinoschisis (Q14.1)
microcystoid degeneration of retina (H35.4)
H33.2 Serous retinal detachment
Incl.:
Retinal detachment:
  • NOS
  • without retinal break
Excl.:
central serous chorioretinopathy (H35.7)
H33.3 Retinal breaks without detachment
Incl.:
  • Horseshoe tear
  • Round hole
  • of retina, without detachment
Operculum
Retinal break NOS
Excl.:
chorioretinal scars after surgery for detachment (H59.8)
peripheral retinal degeneration without break (H35.4)
H33.4 Traction detachment of retina
Incl.:
Proliferative vitreo-retinopathy with retinal detachment
H33.5 Other retinal detachments

H34 Retinal vascular occlusions

Excl.:
amaurosis fugax (G45.3)
H34.0 Transient retinal artery occlusion
H34.1 Central retinal artery occlusion
H34.2 Other retinal artery occlusions
Incl.:
Hollenhorst plaque
Retinal:
  • artery occlusion:
    • branch
    • partial
  • microembolism
H34.8 Other retinal vascular occlusions
Incl.:
Retinal vein occlusion:
  • central
  • incipient
  • partial
  • tributary
H34.9 Retinal vascular occlusion, unspecified

H35 Other retinal disorders

H35.0 Background retinopathy and retinal vascular changes
Incl.:
Changes in retinal vascular appearance
Retinal:
  • micro-aneurysms
  • neovascularization
  • perivasculitis
  • varices
  • vascular sheathing
  • vasculitis
Retinopathy:
  • NOS
  • background NOS
  • Coats
  • exudative
  • hypertensive
H35.1 Retinopathy of prematurity
Incl.:
Retrolental fibroplasia
H35.2 Other proliferative retinopathy
Incl.:
Proliferative vitreo-retinopathy
Excl.:
proliferative vitreo-retinopathy with retinal detachment (H33.4)
H35.3 Degeneration of macula and posterior pole
Incl.:
  • Angioid streaks
  • Cyst
  • Drusen (degenerative)
  • Hole
  • Puckering
  • of macula
Kuhnt-Junius degeneration
Senile macular degeneration (atrophic)(exudative)
Toxic maculopathy
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
H35.4 Peripheral retinal degeneration
Incl.:
Degeneration, retina:
  • NOS
  • lattice
  • microcystoid
  • palisade
  • paving stone
  • reticular
Excl.:
with retinal break (H33.3)
H35.5 Hereditary retinal dystrophy
Incl.:
Dystrophy:
  • retinal (albipunctate)(pigmentary)(vitelliform)
  • tapetoretinal
  • vitreoretinal
Retinitis pigmentosa
Stargardt disease
H35.6 Retinal haemorrhage
H35.7 Separation of retinal layers
Incl.:
Central serous chorioretinopathy
Detachment of retinal pigment epithelium
H35.8 Other specified retinal disorders
H35.9 Retinal disorder, unspecified

H36* Retinal disorders in diseases classified elsewhere

H36.8* Other retinal disorders in diseases classified elsewhere
Incl.:
Atherosclerotic retinopathy (I70.8†)
Proliferative sickle-cell retinopathy (D57.-†)
Retinal dystrophy in lipid storage disorders (E75.-†)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VII
Diseases of the eye and adnexa
(H00-H59)

H40 Glaucoma

Excl.:
absolute glaucoma (H44.5)
congenital glaucoma (Q15.0)
traumatic glaucoma due to birth injury (P15.3)
H40.0 Glaucoma suspect
Incl.:
Ocular hypertension
H40.1 Primary open-angle glaucoma
Incl.:
Glaucoma (primary)(residual stage):
  • capsular with pseudoexfoliation of lens
  • chronic simple
  • low-tension
  • pigmentary
H40.2 Primary angle-closure glaucoma
Incl.:
Angle-closure glaucoma (primary)(residual stage):
  • acute
  • chronic
  • intermittent
H40.3 Glaucoma secondary to eye trauma
Coding-Hint
Use additional code, if desired, to identify cause.
H40.4 Glaucoma secondary to eye inflammation
Coding-Hint
Use additional code, if desired, to identify cause.
H40.5 Glaucoma secondary to other eye disorders
Coding-Hint
Use additional code, if desired, to identify cause.
H40.6 Glaucoma secondary to drugs
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
H40.8 Other glaucoma
H40.9 Glaucoma, unspecified

H42* Glaucoma in diseases classified elsewhere

H42.0* Glaucoma in endocrine, nutritional and metabolic diseases
Incl.:
Glaucoma in:
H42.8* Glaucoma in other diseases classified elsewhere
Incl.:
Glaucoma in onchocerciasis (B73†)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VII
Diseases of the eye and adnexa
(H00-H59)

H43 Disorders of vitreous body

H43.0 Vitreous prolapse
Excl.:
vitreous syndrome following cataract surgery (H59.0)
H43.1 Vitreous haemorrhage
H43.2 Crystalline deposits in vitreous body
H43.3 Other vitreous opacities
Incl.:
Vitreous membranes and strands
H43.8 Other disorders of vitreous body
Incl.:
Vitreous:
  • degeneration
  • detachment
Excl.:
proliferative vitreo-retinopathy with retinal detachment (H33.4)
H43.9 Disorder of vitreous body, unspecified

H44 Disorders of globe

Incl.:
disorders affecting multiple structures of eye
H44.0 Purulent endophthalmitis
Incl.:
Panophthalmitis
Vitreous abscess
H44.1 Other endophthalmitis
Incl.:
Parasitic endophthalmitis NOS
Sympathetic uveitis
H44.2 Degenerative myopia
H44.3 Other degenerative disorders of globe
Incl.:
Chalcosis
Siderosis of eye
H44.4 Hypotony of eye
H44.5 Degenerated conditions of globe
Incl.:
Absolute glaucoma
Atrophy of globe
Phthisis bulbi
H44.6 Retained (old) intraocular foreign body, magnetic
Incl.:
Retained (old) magnetic foreign body (in):
  • anterior chamber
  • ciliary body
  • iris
  • lens
  • posterior wall of globe
  • vitreous body
H44.7 Retained (old) intraocular foreign body, nonmagnetic
Incl.:
Retained (nonmagnetic)(old) foreign body (in):
  • anterior chamber
  • ciliary body
  • iris
  • lens
  • posterior wall of globe
  • vitreous body
H44.8 Other disorders of globe
Incl.:
Haemophthalmos
Luxation of globe
H44.9 Disorder of globe, unspecified

H45* Disorders of vitreous body and globe in diseases classified elsewhere

H45.0* Vitreous haemorrhage in diseases classified elsewhere
H45.1* Endophthalmitis in diseases classified elsewhere
Incl.:
Endophthalmitis in:
H45.8* Other disorders of vitreous body and globe in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VII
Diseases of the eye and adnexa
(H00-H59)

H46 Optic neuritis

Incl.:
Optic
  • neuropathy, except ischaemic
  • papillitis
Retrobulbar neuritis NOS
Excl.:
ischaemic optic neuropathy (H47.0)
neuromyelitis optica [Devic] (G36.0)

H47 Other disorders of optic [2nd] nerve and visual pathways

H47.0 Disorders of optic nerve, not elsewhere classified
Incl.:
Compression of optic nerve
Haemorrhage in optic nerve sheath
Ischaemic optic neuropathy
H47.1 Papilloedema, unspecified
H47.2 Optic atrophy
Incl.:
Temporal pallor of optic disc
H47.3 Other disorders of optic disc
Incl.:
Drusen of optic disc
Pseudopapilloedema
H47.4 Disorders of optic chiasm
H47.5 Disorders of other visual pathways
Incl.:
Disorders of optic tracts, geniculate nuclei and optic radiations
H47.6 Disorders of visual cortex
H47.7 Disorder of visual pathways, unspecified

H48* Disorders of optic [2nd] nerve and visual pathways in diseases classified elsewhere

H48.0* Optic atrophy in diseases classified elsewhere
Incl.:
Optic atrophy in late syphilis (A52.1†)
H48.1* Retrobulbar neuritis in diseases classified elsewhere
Incl.:
Retrobulbar neuritis in:
H48.8* Other disorders of optic nerve and visual pathways in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VII
Diseases of the eye and adnexa
(H00-H59)

H49 Paralytic strabismus

Excl.:
ophthalmoplegia:
H49.0 Third [oculomotor] nerve palsy
H49.1 Fourth [trochlear] nerve palsy
H49.2 Sixth [abducent] nerve palsy
H49.3 Total (external) ophthalmoplegia
H49.4 Progressive external ophthalmoplegia
H49.8 Other paralytic strabismus
Incl.:
External ophthalmoplegia NOS
Kearns-Sayre syndrome
H49.9 Paralytic strabismus, unspecified

H50 Other strabismus

H50.0 Convergent concomitant strabismus
Incl.:
Esotropia (alternating)(monocular), except intermittent
H50.1 Divergent concomitant strabismus
Incl.:
Exotropia (alternating)(monocular), except intermittent
H50.2 Vertical strabismus
Incl.:
Hypertropia
Hypotropia
H50.3 Intermittent heterotropia
Incl.:
  • Intermittent:
    • esotropia
    • exotropia
  • (alternating)(monocular)
H50.4 Other and unspecified heterotropia
Incl.:
Concomitant strabismus NOS
Cyclotropia
Microtropia
Monofixation syndrome
H50.5 Heterophoria
Incl.:
Alternating hyperphoria
Esophoria
Exophoria
H50.6 Mechanical strabismus
Incl.:
Brown sheath syndrome
Strabismus due to adhesions
Traumatic limitation of duction of eye muscle
H50.8 Other specified strabismus
Incl.:
Duane syndrome
H50.9 Strabismus, unspecified

H51 Other disorders of binocular movement

H51.0 Palsy of conjugate gaze
H51.1 Convergence insufficiency and excess
H51.2 Internuclear ophthalmoplegia
H51.8 Other specified disorders of binocular movement
H51.9 Disorder of binocular movement, unspecified

H52 Disorders of refraction and accommodation

H52.0 Hypermetropia
H52.1 Myopia
Excl.:
degenerative myopia (H44.2)
H52.2 Astigmatism
H52.3 Anisometropia and aniseikonia
H52.4 Presbyopia
H52.5 Disorders of accommodation
Incl.:
Internal ophthalmoplegia (complete)(total)
  • Paresis
  • Spasm
  • of accommodation
H52.6 Other disorders of refraction
H52.7 Disorder of refraction, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VII
Diseases of the eye and adnexa
(H00-H59)

H53 Visual disturbances

H53.0 Amblyopia ex anopsia
Incl.:
Amblyopia:
  • anisometropic
  • deprivation
  • strabismic
H53.1 Subjective visual disturbances
Incl.:
Asthenopia
Day blindness
Hemeralopia
Metamorphopsia
Photophobia
Scintillating scotoma
Sudden visual loss
Visual halos
Excl.:
visual hallucinations (R44.1)
H53.2 Diplopia
Incl.:
Double vision
H53.3 Other disorders of binocular vision
Incl.:
Abnormal retinal correspondence
Fusion with defective stereopsis
Simultaneous visual perception without fusion
Suppression of binocular vision
H53.4 Visual field defects
Incl.:
Enlarged blind spot
Generalized contraction of visual field
Hemianop(s)ia (heteronymous)(homonymous)
Quadrant anop(s)ia
Scotoma:
  • arcuate
  • Bjerrum
  • central
  • ring
H53.5 Colour vision deficiencies
Incl.:
Achromatopsia
Acquired colour vision deficiency
Colour blindness
Deuteranomaly
Deuteranopia
Protanomaly
Protanopia
Tritanomaly
Tritanopia
Excl.:
day blindness (H53.1)
H53.6 Night blindness
Excl.:
due to vitamin A deficiency (E50.5)
H53.8 Other visual disturbances
H53.9 Visual disturbance, unspecified

H54 Visual impairment including blindness (binocular or monocular)

Note:

For definition of visual impairment categories see table below.

Excl.:
amaurosis fugax (G45.3)
H54.0 Blindness, binocular
Incl.:
Visual impairment categories 3,4,5 in both eyes
H54.1 Severe visual impairment, binocular
Incl.:
Visual impairment category 2.
H54.2 Moderate visual impairment, binocular
Incl.:
Visual impairment category 1
H54.3 Mild or no visual impairment, binocular
Incl.:
Visual impairment category 0.
H54.4 Blindness, monocular
Incl.:
Visual impairment categories 3, 4, 5 in one eye and categories 0, 1, 2 or 9 in the other eye.
H54.5 Severe visual impairment, monocular
Incl.:
Visual impairment category 2 in one eye and categories 0, 1 or 9 in other eye.
H54.6 Moderate visual impairment, monocular
Incl.:
Visual impairment category 1 in one eye and categories 0 or 9 in other eye.
H54.9 Unspecified visual impairment (binocular)
Incl.:
Visual impairment category 9.
Coding-Hint

The table below gives a classification of severity of visual impairment recommended by the Resolution of the International Council of Ophthalmology (2002) and the Recommendations of the WHO Consultation on “Development of Standards for Characterization of Vision Loss and Visual Functioning" (September 2003)

For characterizing visual impairment for codes H54.0 to H54.3, visual acuity should be measured with both eyes open with presenting correction if any. For characterizing visual impairment for codes H54.4 to H54.6, visual acuity should be measured monocularly with presenting correction if any.

If the extent of the visual field is taken into account, patients with a visual field of the better eye no greater than 10° in radius around central fixation should be placed under category 3. For monocular blindness (H54.4), this degree of field loss would apply to the affected eye.

Category

Presenting distance visual acuity

Worse than:

Equal to or better than:

0 Mild or no visual impairment

6/18

3/10 (0.3)

20/70

1 Moderate visual impairment

6/18

3/10 (0.3)

20/70

6/60

1/10 (0.1)

20/200

2 Severe visual impairment

6/60

1/10 (0.1)

20/200

3/60

1/20 (0.05)

20/400

3 Blindness

3/60

1/20 (0.05)

20/400

1/60*

1/50 (0.02)

5/300 (20/1200)

4 Blindness

1/60*

1/50 (0.02)

5/300 (20/1200)

Light perception

5 Blindness

No light perception

9

Undetermined or unspecified

* or counts fingers (CF) at 1 metre.

Note: The term visual impairment in category H54 comprises category 0 for mild or no visual impairment, category 1 for moderate visual impairment, category 2 for severe visual impairment, categories 3, 4 and 5 for blindness and category 9 for unqualified visual impairment. The term "low vision" included in the previous revision has been replaced by categories 1 and 2 to avoid confusion with those requiring low vision care.

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VII
Diseases of the eye and adnexa
(H00-H59)

H55 Nystagmus and other irregular eye movements

Incl.:
Nystagmus:
  • NOS
  • congenital
  • deprivation
  • dissociated
  • latent

H57 Other disorders of eye and adnexa

H57.0 Anomalies of pupillary function
H57.1 Ocular pain
H57.8 Other specified disorders of eye and adnexa
H57.9 Disorder of eye and adnexa, unspecified

H58* Other disorders of eye and adnexa in diseases classified elsewhere

H58.0* Anomalies of pupillary function in diseases classified elsewhere
Incl.:
Argyll Robertson phenomenon or pupil, syphilitic (A52.1†)
H58.1* Visual disturbances in diseases classified elsewhere
H58.8* Other specified disorders of eye and adnexa in diseases classified elsewhere
Incl.:
Syphilitic oculopathy NEC:

H59 Postprocedural disorders of eye and adnexa, not elsewhere classified

Excl.:
mechanical complication of:
  • intraocular lens (T85.2)
  • other ocular prosthetic devices, implants and grafts (T85.3)
pseudophakia (Z96.1)
H59.0 Keratopathy (bullous aphakic) following cataract surgery
Incl.:
Vitreous (touch) syndrome
Vitreal corneal syndrome
H59.8 Other postprocedural disorders of eye and adnexa
Incl.:
Bleb-associated endophthalmitis
Chorioretinal scars after surgery for detachment
Inflammation (infection) of postprocedural bleb
Postprocedural blebitis
H59.9 Postprocedural disorder of eye and adnexa, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VIII
Diseases of the ear and mastoid process
(H60-H95)

H60 Otitis externa

H60.0 Abscess of external ear
Incl.:
  • Boil
  • Carbuncle
  • Furuncle
  • of auricle or external auditory canal
H60.1 Cellulitis of external ear
Incl.:
Cellulitis of:
  • auricle
  • external auditory canal
H60.2 Malignant otitis externa
H60.3 Other infective otitis externa
Incl.:
Otitis externa:
  • diffuse
  • haemorrhagic
Swimmer ear
H60.4 Cholesteatoma of external ear
Incl.:
Keratosis obturans of external ear (canal)
H60.5 Acute otitis externa, noninfective
Incl.:
Acute otitis externa:
  • NOS
  • actinic
  • chemical
  • contact
  • eczematoid
  • reactive
H60.8 Other otitis externa
Incl.:
Chronic otitis externa NOS
H60.9 Otitis externa, unspecified

H61 Other disorders of external ear

H61.0 Perichondritis of external ear
Incl.:
Chondrodermatitis nodularis chronica helicis
Perichondritis of:
  • auricle
  • pinna
H61.1 Noninfective disorders of pinna
Incl.:
Acquired deformity of:
  • auricle
  • pinna
Excl.:
cauliflower ear (M95.1)
H61.2 Impacted cerumen
Incl.:
Wax in ear
H61.3 Acquired stenosis of external ear canal
Incl.:
Collapse of external ear canal
H61.8 Other specified disorders of external ear
Incl.:
Exostosis of external canal
H61.9 Disorder of external ear, unspecified

H62* Disorders of external ear in diseases classified elsewhere

H62.0* Otitis externa in bacterial diseases classified elsewhere
Incl.:
Otitis externa in erysipelas (A46†)
H62.1* Otitis externa in viral diseases classified elsewhere
Incl.:
Otitis externa in:
H62.2* Otitis externa in mycoses
Incl.:
Otitis externa in:
Otomycosis NOS (B36.9†)
H62.3* Otitis externa in other infectious and parasitic diseases classified elsewhere
H62.4* Otitis externa in other diseases classified elsewhere
Incl.:
Otitis externa in impetigo (L01.-†)
H62.8* Other disorders of external ear in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VIII
Diseases of the ear and mastoid process
(H60-H95)

H65 Nonsuppurative otitis media

Incl.:
with myringitis
Coding-Hint
Use additional code (H72.-) , if desired, to identify presence of perforated tympanic membrane.
H65.0 Acute serous otitis media
Incl.:
Acute and subacute secretory otitis media
H65.1 Other acute nonsuppurative otitis media
Incl.:
Otitis media, acute and subacute:
  • allergic (mucoid)(sanguinous)(serous)
  • mucoid
  • nonsuppurative NOS
  • sanguinous
  • seromucinous
Excl.:
otitic barotrauma (T70.0)
otitis media (acute) NOS (H66.9)
H65.2 Chronic serous otitis media
Incl.:
Chronic tubotympanal catarrh
H65.3 Chronic mucoid otitis media
Incl.:
Glue ear
Otitis media, chronic:
  • mucinous
  • secretory
  • transudative
Excl.:
adhesive middle ear disease (H74.1)
H65.4 Other chronic nonsuppurative otitis media
Incl.:
Otitis media, chronic:
  • allergic
  • exudative
  • nonsuppurative NOS
  • seromucinous
  • with effusion (nonpurulent)
H65.9 Nonsuppurative otitis media, unspecified
Incl.:
Otitis media:
  • allergic
  • catarrhal
  • exudative
  • mucoid
  • secretory
  • seromucinous
  • serous
  • transudative
  • with effusion (nonpurulent)

H66 Suppurative and unspecified otitis media

Incl.:
with myringitis
Coding-Hint
Use additional code (H72.-) , if desired, to identify presence of perforated tympanic membrane.
H66.0 Acute suppurative otitis media
H66.1 Chronic tubotympanic suppurative otitis media
Incl.:
Benign chronic suppurative otitis media
Chronic tubotympanic disease
H66.2 Chronic atticoantral suppurative otitis media
Incl.:
Chronic atticoantral disease
H66.3 Other chronic suppurative otitis media
Incl.:
Chronic suppurative otitis media NOS
H66.4 Suppurative otitis media, unspecified
Incl.:
Purulent otitis media NOS
H66.9 Otitis media, unspecified
Incl.:
Otitis media:
  • NOS
  • acute NOS
  • chronic NOS

H67* Otitis media in diseases classified elsewhere

H67.0* Otitis media in bacterial diseases classified elsewhere
Incl.:
Otitis media in:
H67.1* Otitis media in viral diseases classified elsewhere
Incl.:
Otitis media in:
  • influenza:
    • seasonal virus identified (J10.8†)
    • virus not identified (J11.8†)
    • zoonotic or pandemic influenza virus identified (J09†)
  • measles (B05.3†)
H67.8* Otitis media in other diseases classified elsewhere

H68 Eustachian salpingitis and obstruction

H68.0 Eustachian salpingitis
H68.1 Obstruction of Eustachian tube
Incl.:
  • Compression
  • Stenosis
  • Stricture
  • of Eustachian tube

H69 Other disorders of Eustachian tube

H69.0 Patulous Eustachian tube
H69.8 Other specified disorders of Eustachian tube
H69.9 Eustachian tube disorder, unspecified

H70 Mastoiditis and related conditions

H70.0 Acute mastoiditis
Incl.:
  • Abscess
  • Empyema
  • of mastoid
H70.1 Chronic mastoiditis
Incl.:
  • Caries
  • Fistula
  • of mastoid
H70.2 Petrositis
Incl.:
Inflammation of petrous bone (acute)(chronic)
H70.8 Other mastoiditis and related conditions
H70.9 Mastoiditis, unspecified

H71 Cholesteatoma of middle ear

Incl.:
Cholesteatoma tympani
Excl.:
cholesteatoma of external ear (H60.4)
recurrent cholesteatoma of postmastoidectomy cavity (H95.0)

H72 Perforation of tympanic membrane

Incl.:
perforation of ear drum:
  • persistent post-traumatic
  • postinflammatory
Excl.:
traumatic rupture of ear drum (S09.2)
H72.0 Central perforation of tympanic membrane
H72.1 Attic perforation of tympanic membrane
Incl.:
Perforation of pars flaccida
H72.2 Other marginal perforations of tympanic membrane
H72.8 Other perforations of tympanic membrane
Incl.:
  • Perforation(s):
    • multiple
    • total
  • of tympanic membrane
H72.9 Perforation of tympanic membrane, unspecified

H73 Other disorders of tympanic membrane

H73.0 Acute myringitis
Incl.:
Acute tympanitis
Bullous myringitis
Excl.:
with otitis media (H65-H66)
H73.1 Chronic myringitis
Incl.:
Chronic tympanitis
Excl.:
with otitis media (H65-H66)
H73.8 Other specified disorders of tympanic membrane
H73.9 Disorder of tympanic membrane, unspecified

H74 Other disorders of middle ear and mastoid

H74.0 Tympanosclerosis
H74.1 Adhesive middle ear disease
Incl.:
Adhesive otitis
Excl.:
glue ear (H65.3)
H74.2 Discontinuity and dislocation of ear ossicles
H74.3 Other acquired abnormalities of ear ossicles
Incl.:
  • Ankylosis
  • Partial loss
  • of ear ossicles
H74.4 Polyp of middle ear
H74.8 Other specified disorders of middle ear and mastoid
H74.9 Disorder of middle ear and mastoid, unspecified

H75* Other disorders of middle ear and mastoid in diseases classified elsewhere

H75.0* Mastoiditis in infectious and parasitic diseases classified elsewhere
Incl.:
Tuberculous mastoiditis (A18.0†)
H75.8* Other specified disorders of middle ear and mastoid in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VIII
Diseases of the ear and mastoid process
(H60-H95)

H80 Otosclerosis

Incl.:
otospongiosis
H80.0 Otosclerosis involving oval window, nonobliterative
H80.1 Otosclerosis involving oval window, obliterative
H80.2 Cochlear otosclerosis
Incl.:
Otosclerosis involving:
  • otic capsule
  • round window
H80.8 Other otosclerosis
H80.9 Otosclerosis, unspecified

H81 Disorders of vestibular function

Excl.:
vertigo:
H81.0 Ménière disease
Incl.:
Labyrinthine hydrops
Ménière syndrome or vertigo
H81.1 Benign paroxysmal vertigo
H81.2 Vestibular neuronitis
H81.3 Other peripheral vertigo
Incl.:
Lermoyez syndrome
Vertigo:
  • aural
  • otogenic
  • peripheral NOS
H81.4 Vertigo of central origin
Incl.:
Central positional nystagmus
H81.8 Other disorders of vestibular function
H81.9 Disorder of vestibular function, unspecified
Incl.:
Vertiginous syndrome NOS

H82* Vertiginous syndromes in diseases classified elsewhere

H83 Other diseases of inner ear

H83.0 Labyrinthitis
H83.1 Labyrinthine fistula
H83.2 Labyrinthine dysfunction
Incl.:
  • Hypersensitivity
  • Hypofunction
  • Loss of function
  • of labyrinth
H83.3 Noise effects on inner ear
Incl.:
Acoustic trauma
Noise-induced hearing loss
H83.8 Other specified diseases of inner ear
H83.9 Disease of inner ear, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VIII
Diseases of the ear and mastoid process
(H60-H95)

H90 Conductive and sensorineural hearing loss

Incl.:
congenital deafness
Excl.:
deaf mutism NEC (H91.3)
deafness NOS (H91.9)
hearing loss:
H90.0 Conductive hearing loss, bilateral
H90.1 Conductive hearing loss, unilateral with unrestricted hearing on the contralateral side
H90.2 Conductive hearing loss, unspecified
Incl.:
Conductive deafness NOS
H90.3 Sensorineural hearing loss, bilateral
H90.4 Sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side
H90.5 Sensorineural hearing loss, unspecified
Incl.:
Congenital deafness NOS
  • Hearing loss:
    • central
    • neural
    • perceptive
    • sensory
  • NOS
Sensorineural deafness NOS
H90.6 Mixed conductive and sensorineural hearing loss, bilateral
H90.7 Mixed conductive and sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side
H90.8 Mixed conductive and sensorineural hearing loss, unspecified

H91 Other hearing loss

Excl.:
abnormal auditory perception (H93.2)
hearing loss as classified in H90.-
impacted cerumen (H61.2)
noise-induced hearing loss (H83.3)
psychogenic deafness (F44.6)
transient ischaemic deafness (H93.0)
H91.0 Ototoxic hearing loss
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify toxic agent.
H91.1 Presbycusis
Incl.:
Presbyacusia
H91.2 Sudden idiopathic hearing loss
Incl.:
Sudden hearing loss NOS
H91.3 Deaf mutism, not elsewhere classified
H91.8 Other specified hearing loss
H91.9 Hearing loss, unspecified
Incl.:
Deafness:
  • NOS
  • high frequency
  • low frequency

H92 Otalgia and effusion of ear

H92.0 Otalgia
H92.1 Otorrhoea
Excl.:
leakage of cerebrospinal fluid through ear (G96.0)
H92.2 Otorrhagia
Excl.:
traumatic otorrhagia - code by type of injury.

H93 Other disorders of ear, not elsewhere classified

H93.0 Degenerative and vascular disorders of ear
Incl.:
Transient ischaemic deafness
Excl.:
presbycusis (H91.1)
H93.1 Tinnitus
H93.2 Other abnormal auditory perceptions
Incl.:
Auditory recruitment
Diplacusis
Hyperacusis
Temporary auditory threshold shift
Excl.:
auditory hallucinations (R44.0)
H93.3 Disorders of acoustic nerve
Incl.:
Disorder of 8th cranial nerve
H93.8 Other specified disorders of ear
H93.9 Disorder of ear, unspecified

H94* Other disorders of ear in diseases classified elsewhere

H94.0* Acoustic neuritis in infectious and parasitic diseases classified elsewhere
Incl.:
Acoustic neuritis in syphilis (A52.1†)
H94.8* Other specified disorders of ear in diseases classified elsewhere

H95 Postprocedural disorders of ear and mastoid process, not elsewhere classified

H95.0 Recurrent cholesteatoma of postmastoidectomy cavity
H95.1 Other disorders following mastoidectomy
Incl.:
  • Chronic inflammation
  • Granulation
  • Mucosal cyst
  • of postmastoidectomy cavity
H95.8 Other postprocedural disorders of ear and mastoid process
H95.9 Postprocedural disorder of ear and mastoid process, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter I
Certain infectious and parasitic diseases
(A00-B99)

Incl.:
diseases generally recognized as communicable or transmissible
Coding-Hint
Use additional code (U82-U84), if desired, to identify resistance to antimicrobial drugs
Excl.:
carrier or suspected carrier of infectious disease (Z22.-)
certain localized infections - see body system-related chapters
infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium [except obstetrical tetanus] (O98.-)
infectious and parasitic diseases specific to the perinatal period [except tetanus neonatorum, congenital syphilis, perinatal gonococcal infection and perinatal human immunodeficiency virus [HIV] disease] (P35-P39)
influenza and other acute respiratory infections (J00-J22)
This chapter contains the following blocks:
  • A00-A09 Intestinal infectious diseases
  • A15-A19 Tuberculosis
  • A20-A28 Certain zoonotic bacterial diseases
  • A30-A49 Other bacterial diseases
  • A50-A64 Infections with a predominantly sexual mode of transmission
  • A65-A69 Other spirochaetal diseases
  • A70-A74 Other diseases caused by chlamydiae
  • A75-A79 Rickettsioses
  • A80-A89 Viral infections of the central nervous system
  • A92-A99 Arthropod-borne viral fevers and viral haemorrhagic fevers
  • B00-B09 Viral infections characterized by skin and mucous membrane lesions
  • B15-B19 Viral hepatitis
  • B20-B24 Human immunodeficiency virus [HIV] disease
  • B25-B34 Other viral diseases
  • B35-B49 Mycoses
  • B50-B64 Protozoal diseases
  • B65-B83 Helminthiases
  • B85-B89 Pediculosis, acariasis and other infestations
  • B90-B94 Sequelae of infectious and parasitic diseases
  • B95-B98 Bacterial, viral and other infectious agents
  • B99-B99 Other infectious diseases

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IX
Diseases of the circulatory system
(I00-I99)

I00 Rheumatic fever without mention of heart involvement

Incl.:
Arthritis, rheumatic, acute or subacute

I01 Rheumatic fever with heart involvement

Excl.:
chronic diseases of rheumatic origin (I05-I09) unless rheumatic fever is also present or there is evidence of recrudescence or activity of the rheumatic process. In cases where there is doubt as to rheumatic activity at the time of death refer to the mortality coding rules and guidelines in Volume 2.
I01.0 Acute rheumatic pericarditis
Incl.:
Any condition in I00 with pericarditis
Rheumatic pericarditis (acute)
Excl.:
when not specified as rheumatic (I30.-)
I01.1 Acute rheumatic endocarditis
Incl.:
Any condition in I00 with endocarditis or valvulitis
Acute rheumatic valvulitis
I01.2 Acute rheumatic myocarditis
Incl.:
Any condition in I00 with myocarditis
I01.8 Other acute rheumatic heart disease
Incl.:
Any condition in I00 with other or multiple types of heart involvement
Acute rheumatic pancarditis
I01.9 Acute rheumatic heart disease, unspecified
Incl.:
Any condition in I00 with unspecified type of heart involvement
Rheumatic:
  • carditis, acute
  • heart disease, active or acute

I02 Rheumatic chorea

Incl.:
Sydenham chorea
Excl.:
chorea:
I02.0 Rheumatic chorea with heart involvement
Incl.:
Chorea NOS with heart involvement
Rheumatic chorea with heart involvement of any type classifiable under I01.-
I02.9 Rheumatic chorea without heart involvement
Incl.:
Rheumatic chorea NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IX
Diseases of the circulatory system
(I00-I99)

I05 Rheumatic mitral valve diseases

Incl.:
conditions classifiable to (I05.0) and (I05.2-I05.9) , whether specified as rheumatic or not
Excl.:
when specified as nonrheumatic (I34.-)
I05.0 Mitral stenosis
Incl.:
Mitral (valve) obstruction (rheumatic)
I05.1 Rheumatic mitral insufficiency
Incl.:
Rheumatic mitral:
  • incompetence
  • regurgitation
I05.2 Mitral stenosis with insufficiency
Incl.:
Mitral stenosis with incompetence or regurgitation
I05.8 Other mitral valve diseases
Incl.:
Mitral (valve) failure
I05.9 Mitral valve disease, unspecified
Incl.:
Mitral (valve) disorder (chronic) NOS

I06 Rheumatic aortic valve diseases

Excl.:
when not specified as rheumatic (I35.-)
I06.0 Rheumatic aortic stenosis
Incl.:
Rheumatic aortic (valve) obstruction
I06.1 Rheumatic aortic insufficiency
Incl.:
Rheumatic aortic:
  • incompetence
  • regurgitation
I06.2 Rheumatic aortic stenosis with insufficiency
Incl.:
Rheumatic aortic stenosis with incompetence or regurgitation
I06.8 Other rheumatic aortic valve diseases
I06.9 Rheumatic aortic valve disease, unspecified
Incl.:
Rheumatic aortic (valve) disease NOS

I07 Rheumatic tricuspid valve diseases

Incl.:
whether specified as rheumatic or of unspecified origin
Excl.:
when specified as nonrheumatic (I36.-)
I07.0 Tricuspid stenosis
Incl.:
Tricuspid (valve) stenosis (rheumatic)
I07.1 Tricuspid insufficiency
Incl.:
Tricuspid (valve) insufficiency (rheumatic)
I07.2 Tricuspid stenosis with insufficiency
I07.8 Other tricuspid valve diseases
I07.9 Tricuspid valve disease, unspecified
Incl.:
Tricuspid valve disorder NOS

I08 Multiple valve diseases

Incl.:
whether specified as rheumatic or of unspecified origin
Excl.:
endocarditis, valve unspecified (I38)
multiple valve diseases of specified origin other than rheumatic heart disease; use appropriate codes in (I34-I38, Q22-Q23, Q24.8)
rheumatic diseases of endocardium, valve unspecified (I09.1)
I08.0 Disorders of both mitral and aortic valves
Incl.:
Involvement of both mitral and aortic valves whether specified as rheumatic or of unspecified origin
I08.1 Disorders of both mitral and tricuspid valves
I08.2 Disorders of both aortic and tricuspid valves
I08.3 Combined disorders of mitral, aortic and tricuspid valves
I08.8 Other multiple valve diseases
I08.9 Multiple valve disease, unspecified

I09 Other rheumatic heart diseases

I09.0 Rheumatic myocarditis
Excl.:
myocarditis not specified as rheumatic (I51.4)
I09.1 Rheumatic diseases of endocardium, valve unspecified
Incl.:
Rheumatic:
  • endocarditis (chronic)
  • valvulitis (chronic)
Excl.:
endocarditis, valve unspecified (I38)
I09.2 Chronic rheumatic pericarditis
Incl.:
Adherent pericardium, rheumatic
Chronic rheumatic:
  • mediastinopericarditis
  • myopericarditis
Excl.:
when not specified as rheumatic (I31.-)
I09.8 Other specified rheumatic heart diseases
Incl.:
Rheumatic disease of pulmonary valve
I09.9 Rheumatic heart disease, unspecified
Incl.:
Rheumatic:
  • carditis
  • heart failure
Excl.:
rheumatoid carditis (M05.3)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IX
Diseases of the circulatory system
(I00-I99)

Hypertensive diseases
(I10-I15)

Excl.:
complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)
involving coronary vessels (I20-I25)
neonatal hypertension (P29.2)
pulmonary hypertension (I27.0)

I10 Essential (primary) hypertension

Incl.:
High blood pressure
Hypertension (arterial)(benign)(essential)(malignant)(primary)(systemic)
Excl.:
involving vessels of:

I11 Hypertensive heart disease

Incl.:
any condition in I50.-, I51.4-I51.9 due to hypertension
I11.0 Hypertensive heart disease with (congestive) heart failure
Incl.:
Hypertensive heart failure
I11.9 Hypertensive heart disease without (congestive) heart failure
Incl.:
Hypertensive heart disease NOS

I12 Hypertensive renal disease

Incl.:
any condition in N00-N07, N18.-, N19 or N26 due to hypertension
arteriosclerosis of kidney
arteriosclerotic nephritis (chronic)(interstitial)
hypertensive nephropathy
nephrosclerosis
Excl.:
secondary hypertension (I15.-)
I12.0 Hypertensive renal disease with renal failure
Incl.:
Hypertensive renal failure
I12.9 Hypertensive renal disease without renal failure
Incl.:
Hypertensive renal disease NOS

I13 Hypertensive heart and renal disease

Incl.:
any condition in I11.- with any condition in I12.-
disease:
  • cardiorenal
  • cardiovascular renal
I13.0 Hypertensive heart and renal disease with (congestive) heart failure
I13.1 Hypertensive heart and renal disease with renal failure
I13.2 Hypertensive heart and renal disease with both (congestive) heart failure and renal failure
I13.9 Hypertensive heart and renal disease, unspecified

I15 Secondary hypertension

Excl.:
involving vessels of:
I15.0 Renovascular hypertension
I15.1 Hypertension secondary to other renal disorders
I15.2 Hypertension secondary to endocrine disorders
I15.8 Other secondary hypertension
I15.9 Secondary hypertension, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IX
Diseases of the circulatory system
(I00-I99)

Ischaemic heart diseases
(I20-I25)

Note:

For morbidity, duration as used in categories I21, I22, I24 and I25 refer to the interval elapsing between onset of the ischaemic episode and admission to care. For mortality, duration refers to the interval elapsing between onset and death.

Incl.:
with mention of hypertension (I10-I15)
Coding-Hint
Use additional code, if desired, to identify presence of hypertension.

I20 Angina pectoris

I20.0 Unstable angina
Incl.:
Angina:
  • crescendo
  • de novo effort
  • worsening effort
Intermediate coronary syndrome
Preinfarction syndrome
I20.1 Angina pectoris with documented spasm
Incl.:
Angina:
  • angiospastic
  • Prinzmetal
  • spasm-induced
  • variant
I20.8 Other forms of angina pectoris
Incl.:
Angina of effort
Coronary slow flow syndrome
Stable angina
Stenocardia
I20.9 Angina pectoris, unspecified
Incl.:
Angina:
  • NOS
  • cardiac
Anginal syndrome
Ischaemic chest pain

I21 Acute myocardial infarction

Incl.:
myocardial infarction specified as acute or with a stated duration of 4 weeks (28 days) or less from onset
Excl.:
certain current complications following acute myocardial infarction (I23.-)
myocardial infarction:
  • old (I25.2)
  • specified as chronic or with a stated duration of more than 4 weeks (more than 28 days) from onset (I25.8)
  • subsequent (I22.-)
postmyocardial infarction syndrome (I24.1)
I21.0 Acute transmural myocardial infarction of anterior wall
Incl.:
Transmural infarction (acute)(of):
  • anterior (wall) NOS
  • anteroapical
  • anterolateral
  • anteroseptal
I21.1 Acute transmural myocardial infarction of inferior wall
Incl.:
Transmural infarction (acute)(of):
  • diaphragmatic wall
  • inferior (wall) NOS
  • inferolateral
  • inferoposterior
I21.2 Acute transmural myocardial infarction of other sites
Incl.:
Transmural infarction (acute)(of):
  • apical-lateral
  • basal-lateral
  • high lateral
  • lateral (wall) NOS
  • posterior (true)
  • posterobasal
  • posterolateral
  • posteroseptal
  • septal NOS
I21.3 Acute transmural myocardial infarction of unspecified site
Incl.:
Transmural myocardial infarction NOS
I21.4 Acute subendocardial myocardial infarction
Incl.:
Myocardial infarction with non-ST elevation
Nontransmural myocardial infarction NOS
I21.9 Acute myocardial infarction, unspecified
Incl.:
Myocardial infarction (acute) NOS

I22 Subsequent myocardial infarction

Note:
For morbidity coding, this category should be assigned for infarction of any myocardial site, occurring within 4 weeks (28 days) from onset of a previous infarction
Incl.:
myocardial infarction:
  • extension
  • recurrent
  • reinfarction
Excl.:
specified as chronic or with a stated duration of more than 4 weeks (more than 28 days) from onset (I25.8)
I22.0 Subsequent myocardial infarction of anterior wall
Incl.:
Subsequent infarction (acute)(of):
  • anterior (wall) NOS
  • anteroapical
  • anterolateral
  • anteroseptal
I22.1 Subsequent myocardial infarction of inferior wall
Incl.:
Subsequent infarction (acute)(of):
  • diaphragmatic wall
  • inferior (wall) NOS
  • inferolateral
  • inferoposterior
I22.8 Subsequent myocardial infarction of other sites
Incl.:
Subsequent myocardial infarction (acute)(of):
  • apical-lateral
  • basal-lateral
  • high lateral
  • lateral (wall) NOS
  • posterior (true)
  • posterobasal
  • posterolateral
  • posteroseptal
  • septal NOS
I22.9 Subsequent myocardial infarction of unspecified site

I23 Certain current complications following acute myocardial infarction

Excl.:
the listed conditions, when:
  • concurrent with acute myocardial infarction (I21-I22)
  • not specified as current complications following acute myocardial infarction (I31.-, I51.-)
I23.0 Haemopericardium as current complication following acute myocardial infarction
I23.1 Atrial septal defect as current complication following acute myocardial infarction
I23.2 Ventricular septal defect as current complication following acute myocardial infarction
I23.3 Rupture of cardiac wall without haemopericardium as current complication following acute myocardial infarction
Excl.:
with haemopericardium (I23.0)
I23.4 Rupture of chordae tendineae as current complication following acute myocardial infarction
I23.5 Rupture of papillary muscle as current complication following acute myocardial infarction
I23.6 Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction
I23.8 Other current complications following acute myocardial infarction

I24 Other acute ischaemic heart diseases

Excl.:
angina pectoris (I20.-)
transient myocardial ischaemia of newborn (P29.4)
I24.0 Coronary thrombosis not resulting in myocardial infarction
Incl.:
  • Coronary (artery)(vein):
    • embolism
    • occlusion
    • thromboembolism
  • not resulting in myocardial infarction
Excl.:
specified as chronic or with a stated duration of more than 4 weeks (more than 28 days) from onset (I25.8)
I24.1 Dressler syndrome
Incl.:
Postmyocardial infarction syndrome
I24.8 Other forms of acute ischaemic heart disease
Incl.:
Coronary:
  • failure
  • insufficiency
I24.9 Acute ischaemic heart disease, unspecified
Excl.:
ischaemic heart disease (chronic) NOS (I25.9)

I25 Chronic ischaemic heart disease

Excl.:
cardiovascular disease NOS (I51.6)
I25.0 Atherosclerotic cardiovascular disease, so described
I25.1 Atherosclerotic heart disease
Incl.:
Coronary (artery):
  • atheroma
  • atherosclerosis
  • disease
  • sclerosis
I25.2 Old myocardial infarction
Incl.:
Healed myocardial infarction
Past myocardial infarction diagnosed by ECG or other special investigation, but currently presenting no symptoms
I25.3 Aneurysm of heart
Incl.:
Aneurysm:
  • mural
  • ventricular
I25.4 Coronary artery aneurysm and dissection
Incl.:
Coronary arteriovenous fistula, acquired
Excl.:
congenital coronary (artery) aneurysm (Q24.5)
I25.5 Ischaemic cardiomyopathy
I25.6 Silent myocardial ischaemia
I25.8 Other forms of chronic ischaemic heart disease
Incl.:
Any condition in I21-I22 and I24.- specified as chronic or with a stated duration of more than 4 weeks (more than 28 days) from onset
I25.9 Chronic ischaemic heart disease, unspecified
Incl.:
Ischaemic heart disease (chronic) NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IX
Diseases of the circulatory system
(I00-I99)

I26 Pulmonary embolism

Incl.:
pulmonary (artery)(vein):
  • infarction
  • thromboembolism
  • thrombosis
Excl.:
complicating:
  • abortion or ectopic or molar pregnancy (O00-O07, O08.2)
  • pregnancy, childbirth and the puerperium (O88.-)
I26.0 Pulmonary embolism with mention of acute cor pulmonale
Incl.:
Acute cor pulmonale NOS
I26.9 Pulmonary embolism without mention of acute cor pulmonale
Incl.:
Pulmonary embolism NOS

I27 Other pulmonary heart diseases

I27.0 Primary pulmonary hypertension
I27.1 Kyphoscoliotic heart disease
I27.2 Other secondary pulmonary hypertension
Coding-Hint
Use additional code, if desired, to identify the underlying disease.
I27.8 Other specified pulmonary heart diseases
Excl.:
Eisenmenger defect (Q21.8)
I27.9 Pulmonary heart disease, unspecified
Incl.:
Chronic cardiopulmonary disease
Cor pulmonale (chronic) NOS

I28 Other diseases of pulmonary vessels

I28.0 Arteriovenous fistula of pulmonary vessels
I28.1 Aneurysm of pulmonary artery
I28.8 Other specified diseases of pulmonary vessels
Incl.:
  • Rupture
  • Stenosis
  • Stricture
  • of pulmonary vessel
I28.9 Disease of pulmonary vessels, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IX
Diseases of the circulatory system
(I00-I99)

I30 Acute pericarditis

Incl.:
acute pericardial effusion
Excl.:
rheumatic pericarditis (acute) (I01.0)
I30.0 Acute nonspecific idiopathic pericarditis
I30.1 Infective pericarditis
Incl.:
Pericarditis:
  • pneumococcal
  • purulent
  • staphylococcal
  • streptococcal
  • viral
Pyopericarditis
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
I30.8 Other forms of acute pericarditis
I30.9 Acute pericarditis, unspecified

I31 Other diseases of pericardium

Excl.:
current complications following acute myocardial infarction (I23.-)
postcardiotomy syndrome (I97.0)
trauma (S26.-)
when specified as rheumatic (I09.2)
I31.0 Chronic adhesive pericarditis
Incl.:
Accretio cordis
Adherent pericardium
Adhesive mediastinopericarditis
I31.1 Chronic constrictive pericarditis
Incl.:
Concretio cordis
Pericardial calcification
I31.2 Haemopericardium, not elsewhere classified
I31.3 Pericardial effusion (noninflammatory)
Incl.:
Chylopericardium
I31.8 Other specified diseases of pericardium
Incl.:
Epicardial plaques
Focal pericardial adhesions
I31.9 Disease of pericardium, unspecified
Incl.:
Cardiac tamponade
Pericarditis (chronic) NOS

I32* Pericarditis in diseases classified elsewhere

I32.0* Pericarditis in bacterial diseases classified elsewhere
Incl.:
Pericarditis:
I32.1* Pericarditis in other infectious and parasitic diseases classified elsewhere
I32.8* Pericarditis in other diseases classified elsewhere
Incl.:
Pericarditis (in):

I33 Acute and subacute endocarditis

Excl.:
acute rheumatic endocarditis (I01.1)
endocarditis NOS (I38)
I33.0 Acute and subacute infective endocarditis
Incl.:
Endocarditis (acute)(subacute):
  • bacterial
  • infective NOS
  • lenta
  • malignant
  • septic
  • ulcerative
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
I33.9 Acute endocarditis, unspecified
Incl.:
  • Endocarditis
  • Myoendocarditis
  • Periendocarditis
  • acute or subacute

I34 Nonrheumatic mitral valve disorders

Excl.:
mitral (valve):
when of unspecified cause but with mention of:
  • diseases of aortic valve (I08.0)
  • mitral stenosis or obstruction (I05.0)
when specified as congenital (Q23.2-Q23.9)
when specified as rheumatic (I05.-)
I34.0 Mitral (valve) insufficiency
Incl.:
  • Mitral (valve):
    • incompetence
    • regurgitation
  • NOS or of specified cause, except rheumatic
I34.1 Mitral (valve) prolapse
Incl.:
Floppy mitral valve syndrome
Excl.:
Marfan syndrome (Q87.4)
I34.2 Nonrheumatic mitral (valve) stenosis
I34.8 Other nonrheumatic mitral valve disorders
I34.9 Nonrheumatic mitral valve disorder, unspecified

I35 Nonrheumatic aortic valve disorders

Excl.:
hypertrophic subaortic stenosis (I42.1)
when of unspecified cause but with mention of diseases of mitral valve (I08.0)
when specified as congenital (Q23.0, Q23.1, Q23.4-Q23.9)
when specified as rheumatic (I06.-)
I35.0 Aortic (valve) stenosis
I35.1 Aortic (valve) insufficiency
Incl.:
  • Aortic (valve):
    • incompetence
    • regurgitation
  • NOS or of specified cause, except rheumatic
I35.2 Aortic (valve) stenosis with insufficiency
I35.8 Other aortic valve disorders
I35.9 Aortic valve disorder, unspecified

I36 Nonrheumatic tricuspid valve disorders

Excl.:
when of unspecified cause (I07.-)
when specified as congenital (Q22.4, Q22.8, Q22.9)
when specified as rheumatic (I07.-)
I36.0 Nonrheumatic tricuspid (valve) stenosis
I36.1 Nonrheumatic tricuspid (valve) insufficiency
Incl.:
  • Tricuspid (valve):
    • incompetence
    • regurgitation
  • of specified cause, except rheumatic
I36.2 Nonrheumatic tricuspid (valve) stenosis with insufficiency
I36.8 Other nonrheumatic tricuspid valve disorders
I36.9 Nonrheumatic tricuspid valve disorder, unspecified

I37 Pulmonary valve disorders

Excl.:
when specified as congenital (Q22.1, Q22.2, Q22.3)
when specified as rheumatic (I09.8)
I37.0 Pulmonary valve stenosis
I37.1 Pulmonary valve insufficiency
Incl.:
  • Pulmonary valve:
    • incompetence
    • regurgitation
  • NOS or of specified cause, except rheumatic
I37.2 Pulmonary valve stenosis with insufficiency
I37.8 Other pulmonary valve disorders
I37.9 Pulmonary valve disorder, unspecified

I38 Endocarditis, valve unspecified

Incl.:
Endocarditis (chronic) NOS
  • Valvular:
    • incompetence
    • insufficiency
    • regurgitation
    • stenosis
  • Valvulitis (chronic)
  • of unspecified valve
  • NOS or of specified cause, except rheumatic or congenital
Excl.:
congenital insufficiency of cardiac valve NOS (Q24.8)
congenital stenosis of cardiac valve NOS (Q24.8)
endocardial fibroelastosis (I42.4)
when specified as rheumatic (I09.1)

I39* Endocarditis and heart valve disorders in diseases classified elsewhere

Incl.:
endocardial involvement in:
I39.0* Mitral valve disorders in diseases classified elsewhere
I39.1* Aortic valve disorders in diseases classified elsewhere
I39.2* Tricuspid valve disorders in diseases classified elsewhere
I39.3* Pulmonary valve disorders in diseases classified elsewhere
I39.4* Multiple valve disorders in diseases classified elsewhere
I39.8* Endocarditis, valve unspecified, in diseases classified elsewhere

I40 Acute myocarditis

I40.0 Infective myocarditis
Incl.:
Septic myocarditis
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
I40.1 Isolated myocarditis
I40.8 Other acute myocarditis
I40.9 Acute myocarditis, unspecified

I41* Myocarditis in diseases classified elsewhere

I41.0* Myocarditis in bacterial diseases classified elsewhere
Incl.:
Myocarditis:
I41.1* Myocarditis in viral diseases classified elsewhere
Incl.:
Influenzal myocarditis (acute):
  • seasonal virus identified (J10.8†)
  • virus not identified (J11.8†)
  • zoonotic or pandemic influenza virus identified (J09†)
Mumps myocarditis (B26.8†)
I41.2* Myocarditis in other infectious and parasitic diseases classified elsewhere
Incl.:
Myocarditis in:
I41.8* Myocarditis in other diseases classified elsewhere
Incl.:
Rheumatoid myocarditis (M05.3†)
Sarcoid myocarditis (D86.8†)

I42 Cardiomyopathy

Excl.:
cardiomyopathy complicating:
ischaemic cardiomyopathy (I25.5)
I42.0 Dilated cardiomyopathy
Incl.:
Congestive cardiomyopathy
I42.1 Obstructive hypertrophic cardiomyopathy
Incl.:
Hypertrophic subaortic stenosis
I42.2 Other hypertrophic cardiomyopathy
Incl.:
Nonobstructive hypertrophic cardiomyopathy
I42.3 Endomyocardial (eosinophilic) disease
Incl.:
Endomyocardial (tropical) fibrosis
Löffler endocarditis
I42.4 Endocardial fibroelastosis
Incl.:
Congenital cardiomyopathy
I42.5 Other restrictive cardiomyopathy
Incl.:
Constrictive cardiomyopathy NOS
I42.6 Alcoholic cardiomyopathy
I42.7 Cardiomyopathy due to drugs and other external agents
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
I42.8 Other cardiomyopathies
I42.9 Cardiomyopathy, unspecified
Incl.:
Cardiomyopathy (primary)(secondary) NOS

I43* Cardiomyopathy in diseases classified elsewhere

I43.0* Cardiomyopathy in infectious and parasitic diseases classified elsewhere
Incl.:
Cardiomyopathy in diphtheria (A36.8†)
I43.1* Cardiomyopathy in metabolic diseases
Incl.:
Cardiac amyloidosis (E85.-†)
I43.2* Cardiomyopathy in nutritional diseases
Incl.:
Nutritional cardiomyopathy NOS (E63.9†)
I43.8* Cardiomyopathy in other diseases classified elsewhere
Incl.:
Gouty tophi of heart (M10.0†)
Thyrotoxic heart disease (E05.9†)

I44 Atrioventricular and left bundle-branch block

I44.0 Atrioventricular block, first degree
I44.1 Atrioventricular block, second degree
Incl.:
Atrioventricular block, type I and II
Möbitz block, type I and II
Second-degree block, type I and II
Wenckebach block
I44.2 Atrioventricular block, complete
Incl.:
Complete heart block NOS
Third-degree block
I44.3 Other and unspecified atrioventricular block
Incl.:
Atrioventricular block NOS
I44.4 Left anterior fascicular block
I44.5 Left posterior fascicular block
I44.6 Other and unspecified fascicular block
Incl.:
Left bundle-branch hemiblock NOS
I44.7 Left bundle-branch block, unspecified

I45 Other conduction disorders

I45.0 Right fascicular block
I45.1 Other and unspecified right bundle-branch block
Incl.:
Right bundle-branch block NOS
I45.2 Bifascicular block
I45.3 Trifascicular block
I45.4 Nonspecific intraventricular block
Incl.:
Bundle-branch block NOS
I45.5 Other specified heart block
Incl.:
Sinoatrial block
Sinoauricular block
Excl.:
heart block NOS (I45.9)
I45.6 Pre-excitation syndrome
Incl.:
Anomalous atrioventricular excitation
Atrioventricular conduction:
  • accelerated
  • accessory
  • pre-excitation
Lown-Ganong-Levine syndrome
Wolff-Parkinson-White syndrome
I45.8 Other specified conduction disorders
Incl.:
Atrioventricular [AV] dissociation
Interference dissociation
Excl.:
prolongation of QT interval (R94.3)
I45.9 Conduction disorder, unspecified
Incl.:
Heart block NOS
Stokes-Adams syndrome

I46 Cardiac arrest

Excl.:
cardiogenic shock (R57.0)
complicating:
  • abortion or ectopic or molar pregnancy (O00-O07, O08.8)
  • obstetric surgery and procedures (O75.4)
I46.0 Cardiac arrest with successful resuscitation
I46.1 Sudden cardiac death, so described
Excl.:
sudden death:
I46.9 Cardiac arrest, unspecified

I47 Paroxysmal tachycardia

Excl.:
complicating:
  • abortion or ectopic or molar pregnancy (O00-O07, O08.8)
  • obstetric surgery and procedures (O75.4)
tachycardia:
I47.0 Re-entry ventricular arrhythmia
I47.1 Supraventricular tachycardia
Incl.:
Tachycardia (paroxysmal):
  • atrial
  • atrioventricular [AV]:
    • NOS
    • re-entrant (nodal) [AVNRT] [AVRT]
  • junctional
  • nodal
I47.2 Ventricular tachycardia
I47.9 Paroxysmal tachycardia, unspecified
Incl.:
Bouveret(-Hoffmann) syndrome

I48 Atrial fibrillation and flutter

I48.0 Paroxysmal atrial fibrillation
I48.1 Persistent atrial fibrillation
I48.2 Chronic atrial fibrillation
I48.3 Typical atrial flutter
Incl.:
Type I atrial flutter
I48.4 Atypical atrial flutter
Incl.:
Type II atrial flutter
I48.9 Atrial fibrillation and atrial flutter, unspecified

I49 Other cardiac arrhythmias

Excl.:
bradycardia:
complicating:
  • abortion or ectopic or molar pregnancy (O00-O07, O08.8)
  • obstetric surgery and procedures (O75.4)
neonatal cardiac dysrhythmia (P29.1)
I49.0 Ventricular fibrillation and flutter
I49.1 Atrial premature depolarization
Incl.:
Atrial premature beats
I49.2 Junctional premature depolarization
I49.3 Ventricular premature depolarization
I49.4 Other and unspecified premature depolarization
Incl.:
Ectopic beats
Extrasystoles
Extrasystolic arrhythmias
Premature:
  • beats NOS
  • contractions
I49.5 Sick sinus syndrome
Incl.:
Tachycardia-bradycardia syndrome
I49.8 Other specified cardiac arrhythmias
Incl.:
Brugada syndrome
Long QT syndrome
Rhythm disorder:
  • coronary sinus
  • ectopic
  • nodal
I49.9 Cardiac arrhythmia, unspecified
Incl.:
Arrhythmia (cardiac) NOS

I50 Heart failure

Excl.:
complicating:
  • abortion or ectopic or molar pregnancy (O00-O07, O08.8)
  • obstetric surgery and procedures (O75.4)
due to hypertension (I11.0)
  • with renal disease (I13.-)
following cardiac surgery or due to presence of cardiac prosthesis (I97.1)
neonatal cardiac failure (P29.0)
I50.0 Congestive heart failure
Incl.:
Congestive heart disease
Right ventricular failure (secondary to left heart failure)
I50.1 Left ventricular failure
Incl.:
Cardiac asthma
Left heart failure
  • Oedema of lung
  • Pulmonary oedema
  • with mention of heart disease NOS or heart failure
I50.9 Heart failure, unspecified
Incl.:
Cardiac, heart or myocardial failure NOS

I51 Complications and ill-defined descriptions of heart disease

Excl.:
any condition in I51.4-I51.9 due to hypertension (I11.-)
any condition in I51.4-I51.9 due to hypertension
  • with renal disease (I13.-)
complications following acute myocardial infarction (I23.-)
when specified as rheumatic (I00-I09)
I51.0 Cardiac septal defect, acquired
Incl.:
Acquired septal defect (old):
  • atrial
  • auricular
  • ventricular
I51.1 Rupture of chordae tendineae, not elsewhere classified
I51.2 Rupture of papillary muscle, not elsewhere classified
I51.3 Intracardiac thrombosis, not elsewhere classified
Incl.:
Thrombosis (old):
  • apical
  • atrial
  • auricular
  • ventricular
I51.4 Myocarditis, unspecified
Incl.:
Myocardial fibrosis
Myocarditis:
  • NOS
  • chronic (interstitial)
I51.5 Myocardial degeneration
Incl.:
Degeneration of heart or myocardium:
  • fatty
  • senile
Myocardial disease
I51.6 Cardiovascular disease, unspecified
Incl.:
Cardiovascular accident NOS
Excl.:
atherosclerotic cardiovascular disease, so described (I25.0)
I51.7 Cardiomegaly
Incl.:
Cardiac:
  • dilatation
  • hypertrophy
Ventricular dilatation
I51.8 Other ill-defined heart diseases
Incl.:
Carditis (acute)(chronic)
Pancarditis (acute)(chronic)
I51.9 Heart disease, unspecified

I52* Other heart disorders in diseases classified elsewhere

Excl.:
cardiovascular disorders NOS in diseases classified elsewhere (I98.-*)
I52.0* Other heart disorders in bacterial diseases classified elsewhere
Incl.:
Meningococcal carditis NEC (A39.5†)
I52.1* Other heart disorders in other infectious and parasitic diseases classified elsewhere
Incl.:
Pulmonary heart disease in schistosomiasis (B65.-†)
I52.8* Other heart disorders in other diseases classified elsewhere
Incl.:
Rheumatoid carditis (M05.3†)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IX
Diseases of the circulatory system
(I00-I99)

Cerebrovascular diseases
(I60-I69)

Incl.:
with mention of hypertension (conditions in I10 and I15.-)
Coding-Hint
Use additional code, if desired, to identify presence of hypertension.
Excl.:
transient cerebral ischaemic attacks and related syndromes (G45.-)
traumatic intracranial haemorrhage (S06.-)
vascular dementia (F01.-)

I60 Subarachnoid haemorrhage

Excl.:
sequelae of subarachnoid haemorrhage (I69.0)
I60.0 Subarachnoid haemorrhage from carotid siphon and bifurcation
I60.1 Subarachnoid haemorrhage from middle cerebral artery
I60.2 Subarachnoid haemorrhage from anterior communicating artery
I60.3 Subarachnoid haemorrhage from posterior communicating artery
I60.4 Subarachnoid haemorrhage from basilar artery
I60.5 Subarachnoid haemorrhage from vertebral artery
I60.6 Subarachnoid haemorrhage from other intracranial arteries
Incl.:
Multiple involvement of intracranial arteries
I60.7 Subarachnoid haemorrhage from intracranial artery, unspecified
Incl.:
Ruptured (congenital) berry aneurysm NOS
  • Subarachnoid haemorrhage from:
    • cerebral
    • communicating
  • artery NOS
I60.8 Other subarachnoid haemorrhage
Incl.:
Meningeal haemorrhage
Rupture of cerebral arteriovenous malformation
I60.9 Subarachnoid haemorrhage, unspecified

I61 Intracerebral haemorrhage

Excl.:
sequelae of intracerebral haemorrhage (I69.1)
I61.0 Intracerebral haemorrhage in hemisphere, subcortical
Incl.:
Deep intracerebral haemorrhage
I61.1 Intracerebral haemorrhage in hemisphere, cortical
Incl.:
Cerebral lobe haemorrhage
Superficial intracerebral haemorrhage
I61.2 Intracerebral haemorrhage in hemisphere, unspecified
I61.3 Intracerebral haemorrhage in brain stem
I61.4 Intracerebral haemorrhage in cerebellum
I61.5 Intracerebral haemorrhage, intraventricular
I61.6 Intracerebral haemorrhage, multiple localized
I61.8 Other intracerebral haemorrhage
I61.9 Intracerebral haemorrhage, unspecified

I62 Other nontraumatic intracranial haemorrhage

Excl.:
sequelae of intracranial haemorrhage (I69.2)
I62.0 Subdural haemorrhage (acute)(nontraumatic)
I62.1 Nontraumatic extradural haemorrhage
Incl.:
Nontraumatic epidural haemorrhage
I62.9 Intracranial haemorrhage (nontraumatic), unspecified

I63 Cerebral infarction

Incl.:
occlusion and stenosis of cerebral and precerebral arteries (including truncus brachiocephalicus), resulting in cerebral infarction
Excl.:
sequelae of cerebral infarction (I69.3)
I63.0 Cerebral infarction due to thrombosis of precerebral arteries
I63.1 Cerebral infarction due to embolism of precerebral arteries
I63.2 Cerebral infarction due to unspecified occlusion or stenosis of precerebral arteries
I63.3 Cerebral infarction due to thrombosis of cerebral arteries
I63.4 Cerebral infarction due to embolism of cerebral arteries
I63.5 Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries
I63.6 Cerebral infarction due to cerebral venous thrombosis, nonpyogenic
I63.8 Other cerebral infarction
I63.9 Cerebral infarction, unspecified

I64 Stroke, not specified as haemorrhage or infarction

Incl.:
Cerebrovascular accident NOS
Excl.:
sequelae of stroke (I69.4)

I65 Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction

Incl.:
  • embolism
  • narrowing
  • obstruction (complete)(partial)
  • thrombosis
  • of basilar, carotid or vertebral arteries, not resulting in cerebral infarction
Excl.:
when causing cerebral infarction (I63.-)
I65.0 Occlusion and stenosis of vertebral artery
I65.1 Occlusion and stenosis of basilar artery
I65.2 Occlusion and stenosis of carotid artery
I65.3 Occlusion and stenosis of multiple and bilateral precerebral arteries
I65.8 Occlusion and stenosis of other precerebral artery
I65.9 Occlusion and stenosis of unspecified precerebral artery
Incl.:
Precerebral artery NOS

I66 Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction

Incl.:
  • embolism
  • narrowing
  • obstruction (complete)(partial)
  • thrombosis
  • of middle, anterior and posterior cerebral arteries, and cerebellar arteries, not resulting in cerebral infarction
Excl.:
when causing cerebral infarction (I63.-)
I66.0 Occlusion and stenosis of middle cerebral artery
I66.1 Occlusion and stenosis of anterior cerebral artery
I66.2 Occlusion and stenosis of posterior cerebral artery
I66.3 Occlusion and stenosis of cerebellar arteries
I66.4 Occlusion and stenosis of multiple and bilateral cerebral arteries
I66.8 Occlusion and stenosis of other cerebral artery
Incl.:
Occlusion and stenosis of perforating arteries
I66.9 Occlusion and stenosis of unspecified cerebral artery

I67 Other cerebrovascular diseases

Excl.:
sequelae of the listed conditions (I69.8)
I67.0 Dissection of cerebral arteries, nonruptured
Excl.:
ruptured cerebral arteries (I60.7)
I67.1 Cerebral aneurysm, nonruptured
Incl.:
Cerebral:
  • aneurysm NOS
  • arteriovenous fistula, acquired
Excl.:
congenital cerebral aneurysm, nonruptured (Q28.-)
ruptured cerebral aneurysm (I60.-)
I67.2 Cerebral atherosclerosis
Incl.:
Atheroma of cerebral arteries
I67.3 Progressive vascular leukoencephalopathy
Incl.:
Binswanger disease
Excl.:
subcortical vascular dementia (F01.2)
I67.4 Hypertensive encephalopathy
I67.5 Moyamoya disease
I67.6 Nonpyogenic thrombosis of intracranial venous system
Incl.:
Nonpyogenic thrombosis of:
  • cerebral vein
  • intracranial venous sinus
Excl.:
when causing infarction (I63.6)
I67.7 Cerebral arteritis, not elsewhere classified
I67.8 Other specified cerebrovascular diseases
Incl.:
Acute cerebrovascular insufficiency NOS
Cerebral ischaemia (chronic)
I67.9 Cerebrovascular disease, unspecified

I68* Cerebrovascular disorders in diseases classified elsewhere

I68.0* Cerebral amyloid angiopathy (E85.-†)
I68.1* Cerebral arteritis in infectious and parasitic diseases classified elsewhere
Incl.:
Cerebral arteritis:
I68.2* Cerebral arteritis in other diseases classified elsewhere
Incl.:
Cerebral arteritis in systemic lupus erythematosus (M32.1†)
I68.8* Other cerebrovascular disorders in diseases classified elsewhere
Incl.:
Uraemic apoplexia in chronic kidney disease (N18.5†)

I69 Sequelae of cerebrovascular disease

Note:

Category I69 is to be used to indicate conditions in I60-I67.1 and I67.4-I67.9 as the cause of sequelae, themselves classified elsewhere. The "sequelae" include conditions specified as such or as late effects, or those present one year or more after onset of the causal condition.

Not to be used for chronic cerebrovascular disease. Code these to I60-I67.

I69.0 Sequelae of subarachnoid haemorrhage
I69.1 Sequelae of intracerebral haemorrhage
I69.2 Sequelae of other nontraumatic intracranial haemorrhage
I69.3 Sequelae of cerebral infarction
I69.4 Sequelae of stroke, not specified as haemorrhage or infarction
I69.8 Sequelae of other and unspecified cerebrovascular diseases

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IX
Diseases of the circulatory system
(I00-I99)

I70 Atherosclerosis

Incl.:
arteriolosclerosis
arteriosclerosis
arteriosclerotic vascular disease
atheroma
degeneration:
  • arterial
  • arteriovascular
  • vascular
endarteritis deformans or obliterans
senile:
  • arteritis
  • endarteritis
Excl.:
cerebral (I67.2)
coronary (I25.1)
mesenteric (K55.1)
pulmonary (I27.0)
Modifiers
The following supplementary classification to indicate the presence or absence of gangrene is provided for optional use with appropriate subcategories in I70.
Code Title
0
without gangrene
1
with gangrene
I70.0 Atherosclerosis of aorta
I70.1 Atherosclerosis of renal artery
Incl.:
Goldblatt kidney
Excl.:
atherosclerosis of renal arterioles (I12.-)
I70.2 Atherosclerosis of arteries of extremities
Incl.:
Atherosclerotic gangrene
Mönckeberg (medial) sclerosis
I70.8 Atherosclerosis of other arteries
I70.9 Generalized and unspecified atherosclerosis

I71 Aortic aneurysm and dissection

I71.0 Dissection of aorta [any part]
Incl.:
Dissecting aneurysm of aorta (ruptured) [any part]
I71.1 Thoracic aortic aneurysm, ruptured
I71.2 Thoracic aortic aneurysm, without mention of rupture
I71.3 Abdominal aortic aneurysm, ruptured
I71.4 Abdominal aortic aneurysm, without mention of rupture
I71.5 Thoracoabdominal aortic aneurysm, ruptured
I71.6 Thoracoabdominal aortic aneurysm, without mention of rupture
I71.8 Aortic aneurysm of unspecified site, ruptured
Incl.:
Rupture of aorta NOS
I71.9 Aortic aneurysm of unspecified site, without mention of rupture
Incl.:
  • Aneurysm
  • Dilatation
  • Hyaline necrosis
  • of aorta

I72 Other aneurysm and dissection

Incl.:
aneurysm (cirsoid)(false)(ruptured)
Excl.:
aneurysm (of):
dissection of:
  • coronary artery (I25.4)
  • precerebral artery, congenital (nonruptured) (Q28.1)
I72.0 Aneurysm and dissection of carotid artery
I72.1 Aneurysm and dissection of artery of upper extremity
I72.2 Aneurysm and dissection of renal artery
I72.3 Aneurysm and dissection of iliac artery
I72.4 Aneurysm and dissection of artery of lower extremity
I72.5 Aneurysm and dissection of other precerebral arteries
Incl.:
Aneurysm and dissection of basilar artery (trunk)
Excl.:
aneurysm and dissection of :
I72.6 Aneurysm and dissection of vertebral artery
I72.8 Aneurysm and dissection of other specified arteries
I72.9 Aneurysm and dissection of unspecified site

I73 Other peripheral vascular diseases

Excl.:
chilblains (T69.1)
frostbite (T33-T35)
immersion hand or foot (T69.0)
spasm of cerebral artery (G45.9)
I73.0 Raynaud syndrome
Incl.:
Raynaud:
  • disease
  • gangrene
  • phenomenon (secondary)
I73.1 Thromboangiitis obliterans [Buerger]
I73.8 Other specified peripheral vascular diseases
Incl.:
Acrocyanosis
Acroparaesthesia:
  • simple [Schultze type]
  • vasomotor [Nothnagel type]
Erythrocyanosis
Erythromelalgia
I73.9 Peripheral vascular disease, unspecified
Incl.:
Intermittent claudication
Spasm of artery

I74 Arterial embolism and thrombosis

Incl.:
infarction:
  • embolic
  • thrombotic
occlusion:
  • embolic
  • thrombotic
Excl.:
embolism and thrombosis:
I74.0 Embolism and thrombosis of abdominal aorta
Incl.:
Aortic bifurcation syndrome
Leriche syndrome
I74.1 Embolism and thrombosis of other and unspecified parts of aorta
I74.2 Embolism and thrombosis of arteries of upper extremities
I74.3 Embolism and thrombosis of arteries of lower extremities
I74.4 Embolism and thrombosis of arteries of extremities, unspecified
Incl.:
Peripheral arterial embolism
I74.5 Embolism and thrombosis of iliac artery
I74.8 Embolism and thrombosis of other arteries
I74.9 Embolism and thrombosis of unspecified artery

I77 Other disorders of arteries and arterioles

Excl.:
collagen (vascular) diseases (M30-M36)
hypersensitivity angiitis (M31.0)
pulmonary artery (I28.-)
I77.0 Arteriovenous fistula, acquired
Incl.:
Aneurysmal varix
Arteriovenous aneurysm, acquired
Excl.:
arteriovenous aneurysm NOS (Q27.3)
cerebral (I67.1)
coronary (I25.4)
traumatic - see injury of blood vessel by body region.
I77.1 Stricture of artery
I77.2 Rupture of artery
Incl.:
Fistula of artery
Excl.:
traumatic rupture of artery - see injury of blood vessel by body region.
I77.3 Arterial fibromuscular dysplasia
I77.4 Coeliac artery compression syndrome
I77.5 Necrosis of artery
I77.6 Arteritis, unspecified
Incl.:
Aortitis NOS
Endarteritis NOS
Excl.:
arteritis or endarteritis:
I77.8 Other specified disorders of arteries and arterioles
Incl.:
  • Erosion
  • Ulcer
  • of artery
I77.9 Disorder of arteries and arterioles, unspecified

I78 Diseases of capillaries

I78.0 Hereditary haemorrhagic telangiectasia
Incl.:
Rendu-Osler-Weber disease
I78.1 Naevus, non-neoplastic
Incl.:
Naevus:
  • araneus
  • spider
  • stellar
Excl.:
naevus:
I78.8 Other diseases of capillaries
I78.9 Disease of capillaries, unspecified

I79* Disorders of arteries, arterioles and capillaries in diseases classified elsewhere

I79.0* Aneurysm of aorta in diseases classified elsewhere
Incl.:
Syphilitic aneurysm of aorta (A52.0†)
I79.1* Aortitis in diseases classified elsewhere
Incl.:
Syphilitic aortitis (A52.0†)
I79.2* Peripheral angiopathy in diseases classified elsewhere
Incl.:
Diabetic peripheral angiopathy (E10-E14 with common fourth character .5†)
I79.8* Other disorders of arteries, arterioles and capillaries in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IX
Diseases of the circulatory system
(I00-I99)

I80 Phlebitis and thrombophlebitis

Incl.:
endophlebitis
inflammation, vein
periphlebitis
suppurative phlebitis
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
Excl.:
phlebitis and thrombophlebitis (of):
  • complicating:
    • abortion or ectopic or molar pregnancy (O00-O07, O08.7)
    • pregnancy, childbirth and the puerperium (O22.-, O87.-)
  • intracranial and intraspinal, septic or NOS (G08)
  • intracranial, nonpyogenic (I67.6)
  • intraspinal, nonpyogenic (G95.1)
  • portal (vein) (K75.1)
postphlebitic syndrome (I87.0)
thrombophlebitis migrans (I82.1)
I80.0 Phlebitis and thrombophlebitis of superficial vessels of lower extremities
I80.1 Phlebitis and thrombophlebitis of femoral vein
I80.2 Phlebitis and thrombophlebitis of other deep vessels of lower extremities
Incl.:
Deep vein thrombosis NOS
I80.3 Phlebitis and thrombophlebitis of lower extremities, unspecified
Incl.:
Embolism or thrombosis of lower extremity NOS
I80.8 Phlebitis and thrombophlebitis of other sites
I80.9 Phlebitis and thrombophlebitis of unspecified site

I81 Portal vein thrombosis

Incl.:
Portal (vein) obstruction
Excl.:
phlebitis of portal vein (K75.1)

I82 Other venous embolism and thrombosis

Excl.:
venous embolism and thrombosis (of):
  • cerebral (I63.6, I67.6)
  • complicating:
    • abortion or ectopic or molar pregnancy (O00-O07, O08.7)
    • pregnancy, childbirth and the puerperium (O22.-, O87.-)
  • coronary (I21-I25)
  • intracranial and intraspinal, septic or NOS (G08)
  • intracranial, nonpyogenic (I67.6)
  • intraspinal, nonpyogenic (G95.1)
  • lower extremities (I80.-)
  • mesenteric (K55.0)
  • portal (I81)
  • pulmonary (I26.-)
I82.0 Budd-Chiari syndrome
I82.1 Thrombophlebitis migrans
I82.2 Embolism and thrombosis of vena cava
I82.3 Embolism and thrombosis of renal vein
I82.8 Embolism and thrombosis of other specified veins
I82.9 Embolism and thrombosis of unspecified vein
Incl.:
Embolism of vein NOS
Thrombosis (vein) NOS

I83 Varicose veins of lower extremities

Excl.:
complicating:
I83.0 Varicose veins of lower extremities with ulcer
Incl.:
Any condition in I83.9 with ulcer or specified as ulcerated
Varicose ulcer (lower extremity, any part)
I83.1 Varicose veins of lower extremities with inflammation
Incl.:
Any condition in I83.9 with inflammation or specified as inflamed Stasis dermatitis NOS
I83.2 Varicose veins of lower extremities with both ulcer and inflammation
Incl.:
Any condition in I83.9 with both ulcer and inflammation
I83.9 Varicose veins of lower extremities without ulcer or inflammation
Incl.:
  • Phlebectasia
  • Varicose veins
  • Varix
  • of lower extremity [any part] or of unspecified site

I85 Oesophageal varices

I85.0 Oesophageal varices with bleeding
I85.9 Oesophageal varices without bleeding
Incl.:
Oesophageal varices NOS

I86 Varicose veins of other sites

Excl.:
retinal varices (H35.0)
varicose veins of unspecified site (I83.9)
I86.0 Sublingual varices
I86.1 Scrotal varices
Incl.:
Varicocele
I86.2 Pelvic varices
I86.3 Vulval varices
Excl.:
complicating:
  • childbirth and the puerperium (O87.8)
  • pregnancy (O22.1)
I86.4 Gastric varices
I86.8 Varicose veins of other specified sites
Incl.:
Varicose ulcer of nasal septum

I87 Other disorders of veins

I87.0 Postthrombotic syndrome
Incl.:
Postphlebitic syndrome
I87.1 Compression of vein
Incl.:
Stricture of vein
Vena cava syndrome (inferior)(superior)
Excl.:
pulmonary (I28.8)
I87.2 Venous insufficiency (chronic)(peripheral)
I87.8 Other specified disorders of veins
I87.9 Disorder of vein, unspecified

I88 Nonspecific lymphadenitis

Excl.:
acute lymphadenitis, except mesenteric (L04.-)
enlarged lymph nodes NOS (R59.-)
human immunodeficiency virus [HIV] disease resulting in generalized lymphadenopathy (B23.1)
I88.0 Nonspecific mesenteric lymphadenitis
Incl.:
Mesenteric lymphadenitis (acute)(chronic)
I88.1 Chronic lymphadenitis, except mesenteric
Incl.:
  • Adenitis
  • Lymphadenitis
  • chronic, any lymph node except mesenteric
I88.8 Other nonspecific lymphadenitis
I88.9 Nonspecific lymphadenitis, unspecified
Incl.:
Lymphadenitis NOS

I89 Other noninfective disorders of lymphatic vessels and lymph nodes

Excl.:
chylocele:
  • filarial (B74.-)
  • tunica vaginalis (nonfilarial) NOS (N50.8)
enlarged lymph nodes NOS (R59.-)
hereditary lymphoedema (Q82.0)
postmastectomy lymphoedema (I97.2)
I89.0 Lymphoedema, not elsewhere classified
Incl.:
Lymphangiectasis
I89.1 Lymphangitis
Incl.:
Lymphangitis:
  • NOS
  • chronic
  • subacute
Excl.:
acute lymphangitis (L03.-)
I89.8 Other specified noninfective disorders of lymphatic vessels and lymph nodes
Incl.:
Chylocele (nonfilarial)
Lipomelanotic reticulosis
I89.9 Noninfective disorder of lymphatic vessels and lymph nodes, unspecified
Incl.:
Disease of lymphatic vessels NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IX
Diseases of the circulatory system
(I00-I99)

I95 Hypotension

Excl.:
cardiovascular collapse (R57.9)
maternal hypotension syndrome (O26.5)
nonspecific low blood pressure reading NOS (R03.1)
I95.0 Idiopathic hypotension
I95.1 Orthostatic hypotension
Incl.:
Hypotension, postural
Excl.:
neurogenic orthostatic hypotension [Shy-Drager] (G23.8)
I95.2 Hypotension due to drugs
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
I95.8 Other hypotension
Incl.:
Chronic hypotension
I95.9 Hypotension, unspecified

I97 Postprocedural disorders of circulatory system, not elsewhere classified

Excl.:
postoperative shock (T81.1)
I97.0 Postcardiotomy syndrome
I97.1 Other functional disturbances following cardiac surgery
Incl.:
  • Cardiac insufficiency
  • Heart failure
  • following cardiac surgery or due to presence of cardiac prosthesis
I97.2 Postmastectomy lymphoedema syndrome
Incl.:
  • Elephantiasis
  • Obliteration of lymphatic vessels
  • due to mastectomy
I97.8 Other postprocedural disorders of circulatory system, not elsewhere classified
I97.9 Postprocedural disorder of circulatory system, unspecified

I98* Other disorders of circulatory system in diseases classified elsewhere

Excl.:
disorders classified to other asterisk categories within this chapter
I98.0* Cardiovascular syphilis
Incl.:
Cardiovascular syphilis:
I98.1* Cardiovascular disorders in other infectious and parasitic diseases classified elsewhere
Incl.:
Cardiovascular:
  • involvement NEC, in Chagas disease (chronic) (B57.2†)
  • lesions of pinta [carate] (A67.2†)
I98.2* Oesophageal varices without bleeding in diseases classified elsewhere
Incl.:
Oesophageal varices without bleeding in:
I98.3* Oesophageal varices with bleeding in diseases classified elsewhere
Incl.:
Oesophageal varices with bleeding in:
I98.8* Other specified disorders of circulatory system in diseases classified elsewhere

I99 Other and unspecified disorders of circulatory system

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter II
Neoplasms
(C00-D48)

This chapter contains the following blocks:
  • C00-C97 Malignant neoplasms
    • C00-C75 Malignant neoplasms, stated or presumed to be primary, of specified sites, except of lymphoid, haematopoietic and related tissue
      • C00-C14 Malignant neoplasms of lip, oral cavity and pharynx
      • C15-C26 Malignant neoplasms of digestive organs
      • C30-C39 Malignant neoplasms of respiratory and intrathoracic organs
      • C40-C41 Malignant neoplasms of bone and articular cartilage
      • C43-C44 Melanoma and other malignant neoplasms of skin
      • C45-C49 Malignant neoplasms of mesothelial and soft tissue
      • C50-C50 Malignant neoplasm of breast
      • C51-C58 Malignant neoplasms of female genital organs
      • C60-C63 Malignant neoplasms of male genital organs
      • C64-C68 Malignant neoplasms of urinary tract
      • C69-C72 Malignant neoplasms of eye, brain and other parts of central nervous system
      • C73-C75 Malignant neoplasms of thyroid and other endocrine glands
    • C76-C80 Malignant neoplasms of ill-defined, secondary and unspecified sites
    • C81-C96 Malignant neoplasms, stated or presumed to be primary, of lymphoid, haematopoietic and related tissue
    • C97-C97 Malignant neoplasms of independent (primary) multiple sites
  • D00-D09 In situ neoplasms
  • D10-D36 Benign neoplasms
  • D37-D48 Neoplasms of uncertain or unknown behaviour
Introduction

Notes

1.  Primary, ill-defined, secondary and unspecified sites of malignant neoplasm

Categories C76−C80 include malignant neoplasms for which there is no clear indication of the original site of the cancer or the cancer is stated to be 'disseminated', 'scattered' or 'spread' without mention of the primary site. In both cases the primary site is considered to be unknown.

2.  Functional activity

All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter IV may be used, if desired, to identify functional activity associated with any neoplasm. For example, catecholamine-producing malignant phaeochromocytoma of adrenal gland should be coded to C74 with additional code E27.5; basophil adenoma of pituitary gland with Cushing syndrome should be coded to D35.2 with additional code E24.0.

3.  Morphology

There are a number of major morphological (histological) groups of malignant neoplasms: carcinomas including squamous (cell) and adenocarcinomas; sarcomas; other soft tissue tumours including mesotheliomas; lymphomas (Hodgkin and non-Hodgkin); leukaemia; other specified and site-specific types; and unspecified cancers. Cancer is a generic term and may be used for any of the above groups, although it is rarely applied to the malignant neoplasms of lymphatic, haematopoietic and related tissue. 'Carcinoma' is sometimes used incorrectly as a synonym for 'cancer'.

In Chapter II neoplasms are classified predominantly by site within broad groupings for behaviour. In a few exceptional cases morphology is indicated in the category and subcategory titles.

For those wishing to identify the histological type of neoplasm, comprehensive separate morphology codes are provided (see section Morphology of neoplasms). These morphology codes are derived from the second edition of International Classification of Diseases for Oncology (ICDO), which is a dual-axis classification providing independent coding systems for topography and morphology. Morphology codes have six digits: the first four digits identify the histological type; the fifth digit is the behaviour code (malignant primary, malignant secondary (metastatic), in situ, benign, uncertain whether malignant or benign); and the sixth digit is a grading code (differentiation) for solid tumours, and is also used as a special code for lymphomas and leukaemias.

4.  Use of subcategories in Chapter II

Attention is drawn to the special use of subcategory .8 in this chapter [see note 5]. Where it has been necessary to provide subcategories for 'other', these have generally been designated as subcategory .7.

5.  Malignant neoplasms overlapping site boundaries and the use of subcategory .8 (overlapping lesion)

Categories C00−C75 classify primary malignant neoplasms according to their point of origin. Many three-character categories are further divided into named parts or subcategories of the organ in question. A neoplasm that overlaps two or more contiguous sites within a three-character category and whose point of origin cannot be determined should be classified to the subcategory .8 ("overlapping lesion"), unless the combination is specifically indexed elsewhere. For example, carcinoma of oesophagus and stomach is specifically indexed to C16.0 (cardia), while carcinoma of the tip and ventral surface of the tongue should be assigned to C02.8. On the other hand, carcinoma of the tip of the tongue extending to involve the ventral surface should be coded to C02.1 as the point of origin, the tip, is known. 'Overlapping' implies that the sites involved are contiguous (next to each other). Numerically consecutive subcategories are frequently anatomically contiguous, but this is not invariably so (e.g. bladder C67.−) and the coder may need to consult anatomical texts to determine the topographical relationships.

Sometimes a neoplasm overlaps the boundaries of three-character categories within certain systems. To take care of this the following subcategories have been designated:

C02.8  Overlapping lesion of tongue

C08.8  Overlapping lesion of major salivary glands

C14.8  Overlapping lesion of lip, oral cavity and pharynx

C21.8  Overlapping lesion of rectum, anus and anal canal

C24.8  Overlapping lesion of biliary tract

C26.8  Overlapping lesion of digestive system

C39.8  Overlapping lesion of respiratory and intrathoracic organs

C41.8  Overlapping lesion of bone and articular cartilage

C49.8  Overlapping lesion of connective and soft tissue

C57.8  Overlapping lesion of female genital organs

C63.8  Overlapping lesion of male genital organs

C68.8  Overlapping lesion of urinary organs

C72.8  Overlapping lesion of central nervous system

An example of this is a carcinoma of the stomach and small intestine, which should be coded to C26.8 (Overlapping lesion of digestive system).

6.  Malignant neoplasms of ectopic tissue

Malignant neoplasms of ectopic tissue are to be coded to the site where they are found, e.g. ectopic pancreatic malignant neoplasms of ovary are coded to ovary (C56).

7.  Use of the Alphabetical Index in coding neoplasms

In addition to site, morphology and behaviour must also be taken into consideration when coding neoplasms, and reference should always be made first to the Alphabetical Index entry for the morphological description.

The introductory pages of Volume 3 include general instructions about the correct use of the Alphabetical Index. The specific instructions and examples pertaining to neoplasms should be consulted to ensure correct use of the categories and subcategories in Chapter II.

8.  Use of the second edition of International Classification of Diseases for Oncology (ICD-O)

For certain morphological types, Chapter II provides a rather restricted topographical classification, or none at all. The topography codes of ICD-O use for all neoplasms essentially the same three- and four-character categories that Chapter II uses for malignant neoplasms (C00−C77, C80), thus providing increased specificity of site for other neoplasms (malignant secondary (metastatic), benign, in situ and uncertain or unknown).

It is therefore recommended that agencies interested in identifying both the site and morphology of tumours, e.g. cancer registries, cancer hospitals, pathology departments and other agencies specializing in cancer, use ICD-O.

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter III
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
(D50-D89)

Excl.:
autoimmune disease (systemic) NOS (M35.9)
certain conditions originating in the perinatal period (P00-P96)
complications of pregnancy, childbirth and the puerperium (O00-O99)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E90)
human immunodeficiency virus [HIV] disease (B20-B24)
injury, poisoning and certain other consequences of external causes (S00-T98)
neoplasms (C00-D48)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
This chapter contains the following blocks:
  • D50-D53 Nutritional anaemias
  • D55-D59 Haemolytic anaemias
  • D60-D64 Aplastic and other anaemias
  • D65-D69 Coagulation defects, purpura and other haemorrhagic conditions
  • D70-D77 Other diseases of blood and blood-forming organs
  • D80-D89 Certain disorders involving the immune mechanism
Asterisk categories for this chapter are provided as follows:
  • D63* Anaemia in chronic diseases classified elsewhere
  • D77* Other disorders of blood and blood-forming organs in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IV
Endocrine, nutritional and metabolic diseases
(E00-E90)

Note:

All neoplasms, whether functionally active or not, are classified in Chapter II. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used, if desired, as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.

Excl.:
complications of pregnancy, childbirth and the puerperium (O00-O99)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
transitory endocrine and metabolic disorders specific to fetus and newborn (P70-P74)
This chapter contains the following blocks:
  • E00-E07 Disorders of thyroid gland
  • E10-E14 Diabetes mellitus
  • E15-E16 Other disorders of glucose regulation and pancreatic internal secretion
  • E20-E35 Disorders of other endocrine glands
  • E40-E46 Malnutrition
  • E50-E64 Other nutritional deficiencies
  • E65-E68 Obesity and other hyperalimentation
  • E70-E90 Metabolic disorders
Asterisk categories for this chapter are provided as follows:
  • E35* Disorders of endocrine glands in diseases classified elsewhere
  • E90* Nutritional and metabolic disorders in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter IX
Diseases of the circulatory system
(I00-I99)

Excl.:
certain conditions originating in the perinatal period (P00-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O99)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E90)
injury, poisoning and certain other consequences of external causes (S00-T98)
neoplasms (C00-D48)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
systemic connective tissue disorders (M30-M36)
transient cerebral ischaemic attacks and related syndromes (G45.-)
This chapter contains the following blocks:
  • I00-I02 Acute rheumatic fever
  • I05-I09 Chronic rheumatic heart diseases
  • I10-I15 Hypertensive diseases
  • I20-I25 Ischaemic heart diseases
  • I26-I28 Pulmonary heart disease and diseases of pulmonary circulation
  • I30-I52 Other forms of heart disease
  • I60-I69 Cerebrovascular diseases
  • I70-I79 Diseases of arteries, arterioles and capillaries
  • I80-I89 Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified
  • I95-I99 Other and unspecified disorders of the circulatory system
Asterisk categories for this chapter are provided as follows:
  • I32* Pericarditis in diseases classified elsewhere
  • I39* Endocarditis and heart valve disorders in diseases classified elsewhere
  • I41* Myocarditis in diseases classified elsewhere
  • I43* Cardiomyopathy in diseases classified elsewhere
  • I52* Other heart disorders in diseases classified elsewhere
  • I68* Cerebrovascular disorders in diseases classified elsewhere
  • I79* Disorders of arteries, arterioles and capillaries in diseases classified elsewhere
  • I98* Other disorders of circulatory system in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter X
Diseases of the respiratory system
(J00-J99)

Acute upper respiratory infections
(J00-J06)

Excl.:
chronic obstructive pulmonary disease with acute exacerbation NOS (J44.1)

J00 Acute nasopharyngitis [common cold]

Incl.:
Coryza (acute)
Nasal catarrh, acute
Nasopharyngitis:
  • NOS
  • infective NOS
Rhinitis:
  • acute
  • infective
Excl.:
nasopharyngitis, chronic (J31.1)
pharyngitis:
rhinitis:
sore throat:

J01 Acute sinusitis

Incl.:
  • abscess
  • empyema
  • infection
  • inflammation
  • suppuration
  • acute, of sinus (accessory)(nasal)
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
Excl.:
sinusitis, chronic or NOS (J32.-)
J01.0 Acute maxillary sinusitis
Incl.:
Acute antritis
J01.1 Acute frontal sinusitis
J01.2 Acute ethmoidal sinusitis
J01.3 Acute sphenoidal sinusitis
J01.4 Acute pansinusitis
J01.8 Other acute sinusitis
Incl.:
Acute sinusitis involving more than one sinus but not pansinusitis
J01.9 Acute sinusitis, unspecified

J02 Acute pharyngitis

Incl.:
acute sore throat
Excl.:
abscess:
acute laryngopharyngitis (J06.0)
chronic pharyngitis (J31.2)
J02.0 Streptococcal pharyngitis
Incl.:
Streptococcal sore throat
Excl.:
scarlet fever (A38)
J02.8 Acute pharyngitis due to other specified organisms
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
Excl.:
pharyngitis (due to):
  • enteroviral vesicular (B08.5)
  • herpesviral [herpes simplex] (B00.2)
  • infectious mononucleosis (B27.-)
  • influenza virus:
J02.9 Acute pharyngitis, unspecified
Incl.:
Pharyngitis (acute):
  • NOS
  • gangrenous
  • infective NOS
  • suppurative
  • ulcerative
Sore throat (acute) NOS

J03 Acute tonsillitis

Excl.:
peritonsillar abscess (J36)
sore throat:
J03.0 Streptococcal tonsillitis
J03.8 Acute tonsillitis due to other specified organisms
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
Excl.:
herpesviral [herpes simplex] pharyngotonsillitis (B00.2)
J03.9 Acute tonsillitis, unspecified
Incl.:
Tonsillitis (acute):
  • NOS
  • follicular
  • gangrenous
  • infective
  • ulcerative

J04 Acute laryngitis and tracheitis

Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
Excl.:
acute obstructive laryngitis [croup] and epiglottitis (J05.-)
laryngismus (stridulus) (J38.5)
J04.0 Acute laryngitis
Incl.:
Laryngitis (acute):
  • NOS
  • oedematous
  • subglottic
  • suppurative
  • ulcerative
Excl.:
chronic laryngitis (J37.0)
influenzal laryngitis, influenza virus:
J04.1 Acute tracheitis
Incl.:
Tracheitis (acute):
  • NOS
  • catarrhal
Excl.:
chronic tracheitis (J42)
J04.2 Acute laryngotracheitis
Incl.:
Laryngotracheitis NOS
Tracheitis (acute) with laryngitis (acute)
Excl.:
chronic laryngotracheitis (J37.1)

J05 Acute obstructive laryngitis [croup] and epiglottitis

Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
J05.0 Acute obstructive laryngitis [croup]
Incl.:
Obstructive laryngitis NOS
J05.1 Acute epiglottitis
Incl.:
Epiglottitis NOS

J06 Acute upper respiratory infections of multiple and unspecified sites

Excl.:
acute respiratory infection NOS (J22)
influenza virus:
J06.0 Acute laryngopharyngitis
J06.8 Other acute upper respiratory infections of multiple sites
J06.9 Acute upper respiratory infection, unspecified
Incl.:
Upper respiratory:
  • disease, acute
  • infection NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter X
Diseases of the respiratory system
(J00-J99)

J09 Influenza due to identified zoonotic or pandemic influenza virus

Note:
For use of this category, reference must be made to the guidelines of the Global Influenza Programme (GIP, www.who.int/influenza/) of WHO
Definition
Influenza caused by influenza virus strains of special epidemiological importance with an animal-human or inter-human transmission
Coding-Hint
Use additional code, if desired, to identify pneumonia or other manifestations.
Excl.:
Haemophilus influenzae [H. influenzae]:
influenza due to identified seasonal influenza virus (J10.-)

J10 influenza due to identified seasonal influenza virus

Incl.:
Influenza due to identified influenza B or C virus
Excl.:
Haemophilus influenzae [H. influenzae]:
influenza due to identified zoonotic or pandemic influenza virus (J09)
J10.0 Influenza with pneumonia, seasonal influenza virus identified
Incl.:
Influenzal (broncho)pneumonia, seasonal influenza virus identified
J10.1 Influenza with other respiratory manifestations, seasonal influenza virus identified
Incl.:
  • Influenza
  • Influenzal:
    • acute upper respiratory infection
    • laryngitis
    • pharyngitis
    • pleural effusion
  • seasonal influenza virus identified
J10.8 Influenza with other manifestations, seasonal influenza virus identified
Incl.:
  • Encephalopathy due to influenza
  • Influenzal:
    • gastroenteritis
    • myocarditis (acute)
  • seasonal influenza virus identified

J11 Influenza, virus not identified

Incl.:
  • influenza
  • viral influenza
  • specific virus not stated to have been identified
Excl.:
Haemophilus influenzae [H. influenzae]:
J11.0 Influenza with pneumonia, virus not identified
Incl.:
Influenzal (broncho)pneumonia, unspecified or specific virus not identified
J11.1 Influenza with other respiratory manifestations, virus not identified
Incl.:
Influenza NOS
  • Influenzal:
    • acute upper respiratory infection
    • laryngitis
    • pharyngitis
    • pleural effusion
  • unspecified or specific virus not identified
J11.8 Influenza with other manifestations, virus not identified
Incl.:
  • Encephalopathy due to influenza
  • Influenzal:
    • gastroenteritis
    • myocarditis (acute)
  • unspecified or specific virus not identified

J12 Viral pneumonia, not elsewhere classified

Incl.:
bronchopneumonia due to viruses other than influenza viruses
Excl.:
congenital rubella pneumonitis (P35.0)
pneumonia:
severe acute respiratory syndrome [SARS] (U04.9)
J12.0 Adenoviral pneumonia
J12.1 Respiratory syncytial virus pneumonia
J12.2 Parainfluenza virus pneumonia
J12.3 Human metapneumovirus pneumonia
J12.8 Other viral pneumonia
J12.9 Viral pneumonia, unspecified

J13 Pneumonia due to Streptococcus pneumoniae

Incl.:
Bronchopneumonia due to S. pneumoniae
Excl.:
congenital pneumonia due to S. pneumoniae (P23.6)
pneumonia due to other streptococci (J15.3-J15.4)

J14 Pneumonia due to Haemophilus influenzae

Incl.:
Bronchopneumonia due to H. influenzae
Excl.:
congenital pneumonia due to H. influenzae (P23.6)

J15 Bacterial pneumonia, not elsewhere classified

Incl.:
bronchopneumonia due to bacteria other than S. pneumoniae and H. influenzae
Excl.:
chlamydial pneumonia (J16.0)
congenital pneumonia (P23.-)
Legionnaires disease (A48.1)
J15.0 Pneumonia due to Klebsiella pneumoniae
J15.1 Pneumonia due to Pseudomonas
J15.2 Pneumonia due to staphylococcus
J15.3 Pneumonia due to streptococcus, group B
J15.4 Pneumonia due to other streptococci
Excl.:
pneumonia due to:
  • streptococcus, group B (J15.3)
  • Streptococcus pneumoniae (J13)
J15.5 Pneumonia due to Escherichia coli
J15.6 Pneumonia due to other Gram-negative bacteria
Incl.:
Pneumonia due to
  • Gram-negative (aerobic) bacteria NOS
  • Serratia marcescens
J15.7 Pneumonia due to Mycoplasma pneumoniae
J15.8 Other bacterial pneumonia
J15.9 Bacterial pneumonia, unspecified

J16 Pneumonia due to other infectious organisms, not elsewhere classified

Excl.:
ornithosis (A70)
pneumocystosis (B59)
pneumonia:
J16.0 Chlamydial pneumonia
J16.8 Pneumonia due to other specified infectious organisms

J17* Pneumonia in diseases classified elsewhere

J17.0* Pneumonia in bacterial diseases classified elsewhere
Incl.:
Pneumonia (due to)(in):
J17.1* Pneumonia in viral diseases classified elsewhere
Incl.:
Pneumonia in:
J17.2* Pneumonia in mycoses
Incl.:
Pneumonia in:
J17.3* Pneumonia in parasitic diseases
Incl.:
Pneumonia in:
J17.8* Pneumonia in other diseases classified elsewhere
Incl.:
Pneumonia (in):

J18 Pneumonia, organism unspecified

Excl.:
abscess of lung with pneumonia (J85.1)
drug-induced interstitial lung disorders (J70.2-J70.4)
pneumonia:
pneumonitis, due to external agents (J67-J70)
J18.0 Bronchopneumonia, unspecified
Excl.:
bronchiolitis (J21.-)
J18.1 Lobar pneumonia, unspecified
J18.2 Hypostatic pneumonia, unspecified
J18.8 Other pneumonia, organism unspecified
J18.9 Pneumonia, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter X
Diseases of the respiratory system
(J00-J99)

Other acute lower respiratory infections
(J20-J22)

Excl.:
chronic obstructive pulmonary disease with acute:
  • exacerbation NOS (J44.1)
  • lower respiratory infection (J44.0)

J20 Acute bronchitis

Incl.:
bronchitis:
  • NOS, in those under l5 years of age
  • acute and subacute (with):
    • bronchospasm
    • fibrinous
    • membranous
    • purulent
    • septic
    • tracheitis
tracheobronchitis, acute
Excl.:
bronchitis:
  • NOS, in those 15 years of age and above (J40)
  • allergic NOS (J45.0)
  • chronic:
tracheobronchitis:
J20.0 Acute bronchitis due to Mycoplasma pneumoniae
J20.1 Acute bronchitis due to Haemophilus influenzae
J20.2 Acute bronchitis due to streptococcus
J20.3 Acute bronchitis due to coxsackievirus
J20.4 Acute bronchitis due to parainfluenza virus
J20.5 Acute bronchitis due to respiratory syncytial virus
J20.6 Acute bronchitis due to rhinovirus
J20.7 Acute bronchitis due to echovirus
J20.8 Acute bronchitis due to other specified organisms
J20.9 Acute bronchitis, unspecified

J21 Acute bronchiolitis

Incl.:
with bronchospasm
J21.0 Acute bronchiolitis due to respiratory syncytial virus
J21.1 Acute bronchiolitis due to human metapneumovirus
J21.8 Acute bronchiolitis due to other specified organisms
J21.9 Acute bronchiolitis, unspecified
Incl.:
Bronchiolitis (acute)

J22 Unspecified acute lower respiratory infection

Incl.:
Acute (lower) respiratory (tract) infection NOS
Excl.:
upper respiratory infection (acute) (J06.9)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter X
Diseases of the respiratory system
(J00-J99)

J30 Vasomotor and allergic rhinitis

Incl.:
spasmodic rhinorrhoea
Excl.:
allergic rhinitis with asthma (J45.0)
rhinitis NOS (J31.0)
J30.0 Vasomotor rhinitis
J30.1 Allergic rhinitis due to pollen
Incl.:
Allergy NOS due to pollen
Hay fever
Pollinosis
J30.2 Other seasonal allergic rhinitis
J30.3 Other allergic rhinitis
Incl.:
Perennial allergic rhinitis
J30.4 Allergic rhinitis, unspecified

J31 Chronic rhinitis, nasopharyngitis and pharyngitis

J31.0 Chronic rhinitis
Incl.:
Ozena
Rhinitis (chronic):
  • NOS
  • atrophic
  • granulomatous
  • hypertrophic
  • obstructive
  • purulent
  • ulcerative
Excl.:
rhinitis:
J31.1 Chronic nasopharyngitis
Excl.:
nasopharyngitis, acute or NOS (J00)
J31.2 Chronic pharyngitis
Incl.:
Chronic sore throat
Pharyngitis (chronic):
  • atrophic
  • granular
  • hypertrophic
Excl.:
pharyngitis, acute or NOS (J02.9)

J32 Chronic sinusitis

Incl.:
  • abscess
  • empyema
  • infection
  • suppuration
  • (chronic) of sinus (accessory)(nasal)
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
Excl.:
acute sinusitis (J01.-)
J32.0 Chronic maxillary sinusitis
Incl.:
Antritis (chronic)
Maxillary sinusitis NOS
J32.1 Chronic frontal sinusitis
Incl.:
Frontal sinusitis NOS
J32.2 Chronic ethmoidal sinusitis
Incl.:
Ethmoidal sinusitis NOS
J32.3 Chronic sphenoidal sinusitis
Incl.:
Sphenoidal sinusitis NOS
J32.4 Chronic pansinusitis
Incl.:
Pansinusitis NOS
J32.8 Other chronic sinusitis
Incl.:
Sinusitis (chronic) involving more than one sinus but not pansinusitis
J32.9 Chronic sinusitis, unspecified
Incl.:
Sinusitis (chronic) NOS

J33 Nasal polyp

Excl.:
adenomatous polyps (D14.0)
J33.0 Polyp of nasal cavity
Incl.:
Polyp:
  • choanal
  • nasopharyngeal
J33.1 Polypoid sinus degeneration
Incl.:
Woakes syndrome or ethmoiditis
J33.8 Other polyp of sinus
Incl.:
Polyp of sinus:
  • accessory
  • ethmoidal
  • maxillary
  • sphenoidal
J33.9 Nasal polyp, unspecified

J34 Other disorders of nose and nasal sinuses

Excl.:
varicose ulcer of nasal septum (I86.8)
J34.0 Abscess, furuncle and carbuncle of nose
Incl.:
  • Cellulitis
  • Necrosis
  • Ulceration
  • of nose (septum)
J34.1 Cyst and mucocele of nose and nasal sinus
J34.2 Deviated nasal septum
Incl.:
Deflection or deviation of septum (nasal)(acquired)
J34.3 Hypertrophy of nasal turbinates
J34.8 Other specified disorders of nose and nasal sinuses
Incl.:
Perforation of nasal septum NOS
Rhinolith

J35 Chronic diseases of tonsils and adenoids

J35.0 Chronic tonsillitis
Excl.:
tonsillitis:
J35.1 Hypertrophy of tonsils
Incl.:
Enlargement of tonsils
J35.2 Hypertrophy of adenoids
Incl.:
Enlargement of adenoids
J35.3 Hypertrophy of tonsils with hypertrophy of adenoids
J35.8 Other chronic diseases of tonsils and adenoids
Incl.:
Adenoid vegetations
Amygdalolith
Cicatrix of tonsil (and adenoid)
Tonsillar tag
Ulcer of tonsil
J35.9 Chronic disease of tonsils and adenoids, unspecified
Incl.:
Disease (chronic) of tonsils and adenoids NOS

J36 Peritonsillar abscess

Incl.:
Abscess of tonsil
Peritonsillar cellulitis
Quinsy
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
Excl.:
retropharyngeal abscess (J39.0)
tonsillitis:

J37 Chronic laryngitis and laryngotracheitis

Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
J37.0 Chronic laryngitis
Incl.:
Laryngitis:
  • catarrhal
  • hypertrophic
  • sicca
Excl.:
laryngitis:
J37.1 Chronic laryngotracheitis
Incl.:
Laryngitis, chronic, with tracheitis (chronic)
Tracheitis, chronic, with laryngitis
Excl.:
laryngotracheitis:
tracheitis:

J38 Diseases of vocal cords and larynx, not elsewhere classified

Excl.:
laryngitis:
postprocedural subglottic stenosis (J95.5)
stridor:
J38.0 Paralysis of vocal cords and larynx
Incl.:
Laryngoplegia
Paralysis of glottis
J38.1 Polyp of vocal cord and larynx
Excl.:
adenomatous polyps (D14.1)
J38.2 Nodules of vocal cords
Incl.:
Chorditis (fibrinous)(nodosa)(tuberosa)
Singer nodes
Teacher nodes
J38.3 Other diseases of vocal cords
Incl.:
  • Abscess
  • Cellulitis
  • Granuloma
  • Leukokeratosis
  • Leukoplakia
  • of vocal cord(s)
J38.4 Oedema of larynx
Incl.:
Oedema (of):
  • glottis
  • subglottic
  • supraglottic
Excl.:
laryngitis:
  • acute obstructive [croup] (J05.0)
  • oedematous (J04.0)
J38.5 Laryngeal spasm
Incl.:
Laryngismus (stridulus)
J38.6 Stenosis of larynx
J38.7 Other diseases of larynx
Incl.:
  • Abscess
  • Cellulitis
  • Disease NOS
  • Necrosis
  • Pachyderma
  • Perichondritis
  • Ulcer
  • of larynx

J39 Other diseases of upper respiratory tract

Excl.:
acute respiratory infection NOS (J22)
acute respiratory infection NOS
upper respiratory inflammation due to chemicals, gases, fumes or vapours (J68.2)
J39.0 Retropharyngeal and parapharyngeal abscess
Incl.:
Peripharyngeal abscess
Excl.:
peritonsillar abscess (J36)
J39.1 Other abscess of pharynx
Incl.:
Cellulitis of pharynx
Nasopharyngeal abscess
J39.2 Other diseases of pharynx
Incl.:
  • Cyst
  • Oedema
  • of pharynx or nasopharynx
Excl.:
pharyngitis:
J39.3 Upper respiratory tract hypersensitivity reaction, site unspecified
J39.8 Other specified diseases of upper respiratory tract
J39.9 Disease of upper respiratory tract, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter X
Diseases of the respiratory system
(J00-J99)

J40 Bronchitis, not specified as acute or chronic

Note:

Bronchitis not specified as acute or chronic in those under 15 years of age can be assumed to be of acute nature and should be classified to J20.-.

Incl.:
Bronchitis:
  • NOS
  • catarrhal
  • with tracheitis NOS
Tracheobronchitis NOS
Excl.:
bronchitis:

J41 Simple and mucopurulent chronic bronchitis

Excl.:
chronic bronchitis:
J41.0 Simple chronic bronchitis
J41.1 Mucopurulent chronic bronchitis
J41.8 Mixed simple and mucopurulent chronic bronchitis

J42 Unspecified chronic bronchitis

Incl.:
Chronic:
  • bronchitis NOS
  • tracheitis
  • tracheobronchitis
Excl.:
chronic:
  • asthmatic bronchitis (J44.-)
  • bronchitis:
    • simple and mucopurulent (J41.-)
    • with airways obstruction (J44.-)
  • emphysematous bronchitis (J44.-)
  • obstructive pulmonary disease NOS (J44.9)

J43 Emphysema

Excl.:
emphysema:
  • compensatory (J98.3)
  • due to inhalation of chemicals, gases, fumes or vapours (J68.4)
  • interstitial (J98.2)
  • interstitial
  • mediastinal (J98.2)
  • surgical (subcutaneous) (T81.8)
  • traumatic subcutaneous (T79.7)
  • with chronic (obstructive) bronchitis (J44.-)
emphysematous (obstructive) bronchitis (J44.-)
J43.0 MacLeod syndrome
Incl.:
Unilateral:
  • emphysema
  • transparency of lung
J43.1 Panlobular emphysema
Incl.:
Panacinar emphysema
J43.2 Centrilobular emphysema
J43.8 Other emphysema
J43.9 Emphysema, unspecified
Incl.:
Emphysema (lung)(pulmonary):
  • NOS
  • bullous
  • vesicular
Emphysematous bleb

J44 Other chronic obstructive pulmonary disease

Incl.:
chronic:
  • bronchitis:
    • asthmatic (obstructive)
    • emphysematous
    • with:
      • airways obstruction
      • emphysema
  • obstructive:
    • asthma
    • bronchitis
    • tracheobronchitis
Excl.:
asthma (J45.-)
asthmatic bronchitis NOS (J45.9)
bronchiectasis (J47)
chronic:
  • tracheitis (J42)
  • tracheobronchitis (J42)
emphysema (J43.-)
lung diseases due to external agents (J60-J70)
J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection
Excl.:
with influenza (J09-J11)
J44.1 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
J44.8 Other specified chronic obstructive pulmonary disease
Incl.:
Chronic bronchitis:
  • asthmatic (obstructive) NOS
  • emphysematous NOS
  • obstructive NOS
Excl.:
with acute exacerbation (J44.1)
with acute lower respiratory infection (J44.0)
J44.9 Chronic obstructive pulmonary disease, unspecified
Incl.:
Chronic obstructive:
  • airway disease NOS
  • lung disease NOS

J45 Asthma

Excl.:
acute severe asthma (J46)
chronic asthmatic (obstructive) bronchitis (J44.-)
chronic obstructive asthma (J44.-)
eosinophilic asthma (J82)
lung diseases due to external agents (J60-J70)
status asthmaticus (J46)
J45.0 Predominantly allergic asthma
Incl.:
Allergic:
  • bronchitis NOS
  • rhinitis with asthma
Atopic asthma
Extrinsic allergic asthma
Hay fever with asthma
J45.1 Nonallergic asthma
Incl.:
Idiosyncratic asthma
Intrinsic nonallergic asthma
J45.8 Mixed asthma
Incl.:
Combination of conditions listed in J45.0 and J45.1
J45.9 Asthma, unspecified
Incl.:
Asthmatic bronchitis NOS
Late-onset asthma

J46 Status asthmaticus

Incl.:
Acute severe asthma

J47 Bronchiectasis

Incl.:
Bronchiolectasis
Excl.:
congenital bronchiectasis (Q33.4)
tuberculous bronchiectasis (current disease) (A15-A16)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter X
Diseases of the respiratory system
(J00-J99)

Lung diseases due to external agents
(J60-J70)

Excl.:
asthma classified to J45.-

J60 Coalworker pneumoconiosis

Incl.:
Anthracosilicosis
Anthracosis
Coalworker lung
Excl.:
with tuberculosis in A15-A16 (J65)

J61 Pneumoconiosis due to asbestos and other mineral fibres

Incl.:
Asbestosis
Excl.:
pleural plaque with asbestosis (J92.0)
with tuberculosis in A15-A16 (J65)

J62 Pneumoconiosis due to dust containing silica

Incl.:
silicotic fibrosis (massive) of lung
Excl.:
pneumoconiosis with tuberculosis in A15-A16 (J65)
J62.0 Pneumoconiosis due to talc dust
J62.8 Pneumoconiosis due to other dust containing silica
Incl.:
Silicosis NOS

J63 Pneumoconiosis due to other inorganic dusts

Excl.:
with tuberculosis in A15-A16 (J65)
J63.0 Aluminosis (of lung)
J63.1 Bauxite fibrosis (of lung)
J63.2 Berylliosis
J63.3 Graphite fibrosis (of lung)
J63.4 Siderosis
J63.5 Stannosis
J63.8 Pneumoconiosis due to other specified inorganic dusts

J64 Unspecified pneumoconiosis

Excl.:
with tuberculosis in A15-A16 (J65)

J65 Pneumoconiosis associated with tuberculosis

Incl.:
Any condition in J60-J64 with tuberculosis, any type in A15-A16

J66 Airway disease due to specific organic dust

Excl.:
bagassosis (J67.1)
farmer lung (J67.0)
hypersensitivity pneumonitis due to organic dust (J67.-)
reactive airways dysfunction syndrome (J68.3)
J66.0 Byssinosis
Incl.:
Airway disease due to cotton dust
J66.1 Flax-dresser disease
J66.2 Cannabinosis
J66.8 Airway disease due to other specific organic dusts

J67 Hypersensitivity pneumonitis due to organic dust

Incl.:
allergic alveolitis and pneumonitis due to inhaled organic dust and particles of fungal, actinomycetic or other origin
Excl.:
pneumonitis due to inhalation of chemicals, gases, fumes or vapours (J68.0)
J67.0 Farmer lung
Incl.:
Harvester lung
Haymaker lung
Mouldy hay disease
J67.1 Bagassosis
Incl.:
Bagasse:
  • disease
  • pneumonitis
J67.2 Bird fancier lung
Incl.:
Budgerigar fancier disease or lung
Pigeon fancier disease or lung
J67.3 Suberosis
Incl.:
Corkhandler disease or lung
Corkworker disease or lung
J67.4 Maltworker lung
Incl.:
Alveolitis due to Aspergillus clavatus
J67.5 Mushroom-worker lung
J67.6 Maple-bark-stripper lung
Incl.:
Alveolitis due to Cryptostroma corticale
Cryptostromosis
J67.7 Air-conditioner and humidifier lung
Incl.:
Allergic alveolitis due to fungi, thermophilic actinomycetes and other organisms growing in ventilation [air-conditioning] systems
J67.8 Hypersensitivity pneumonitis due to other organic dusts
Incl.:
Cheese-washer lung
Coffee-worker lung
Fishmeal-worker lung
Furrier lung
Sequoiosis
J67.9 Hypersensitivity pneumonitis due to unspecified organic dust
Incl.:
Allergic alveolitis (extrinsic) NOS
Hypersensitivity pneumonitis NOS

J68 Respiratory conditions due to inhalation of chemicals, gases, fumes and vapours

Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
J68.0 Bronchitis and pneumonitis due to chemicals, gases, fumes and vapours
Incl.:
Chemical bronchitis (acute)
J68.1 Pulmonary oedema due to chemicals, gases, fumes and vapours
Incl.:
Chemical pulmonary oedema (acute)
J68.2 Upper respiratory inflammation due to chemicals, gases, fumes and vapours, not elsewhere classified
J68.3 Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapours
Incl.:
Reactive airways dysfunction syndrome
J68.4 Chronic respiratory conditions due to chemicals, gases, fumes and vapours
Incl.:
  • Emphysema (diffuse)(chronic)
  • Obliterative bronchiolitis (chronic)(subacute)
  • Pulmonary fibrosis (chronic)
  • due to inhalation of chemicals, gases, fumes and vapours
J68.8 Other respiratory conditions due to chemicals, gases, fumes and vapours
J68.9 Unspecified respiratory condition due to chemicals, gases, fumes and vapours

J69 Pneumonitis due to solids and liquids

Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
Excl.:
neonatal aspiration syndromes (P24.-)
J69.0 Pneumonitis due to food and vomit
Incl.:
Aspiration pneumonia (due to):
  • NOS
  • food (regurgitated)
  • gastric secretions
  • milk
  • vomit
Excl.:
Mendelson syndrome (J95.4)
J69.1 Pneumonitis due to oils and essences
Incl.:
Lipid pneumonia
J69.8 Pneumonitis due to other solids and liquids
Incl.:
Pneumonitis due to aspiration of blood

J70 Respiratory conditions due to other external agents

Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
J70.0 Acute pulmonary manifestations due to radiation
Incl.:
Radiation pneumonitis
J70.1 Chronic and other pulmonary manifestations due to radiation
Incl.:
Fibrosis of lung following radiation
J70.2 Acute drug-induced interstitial lung disorders
J70.3 Chronic drug-induced interstitial lung disorders
J70.4 Drug-induced interstitial lung disorders, unspecified
J70.8 Respiratory conditions due to other specified external agents
J70.9 Respiratory conditions due to unspecified external agent

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter X
Diseases of the respiratory system
(J00-J99)

J80 Adult respiratory distress syndrome

Incl.:
Adult hyaline membrane disease

J81 Pulmonary oedema

Incl.:
Acute oedema of lung
Pulmonary congestion (passive)
Excl.:
hypostatic pneumonia (J18.2)
pulmonary oedema:
  • chemical (acute) (J68.1)
  • due to external agents (J60-J70)
  • with mention of heart disease NOS or heart failure (I50.1)

J82 Pulmonary eosinophilia, not elsewhere classified

Incl.:
Eosinophilic asthma
Löffler pneumonia
Tropical (pulmonary) eosinophilia NOS
Excl.:
due to:

J84 Other interstitial pulmonary diseases

Excl.:
drug-induced interstitial lung disorders (J70.2-J70.4)
interstitial emphysema (J98.2)
lung diseases due to external agents (J60-J70)
lymphoid interstitial pneumonitis resulting from human immunodeficiency virus [HIV] disease (B22.1)
J84.0 Alveolar and parietoalveolar conditions
Incl.:
Alveolar proteinosis
Pulmonary alveolar microlithiasis
J84.1 Other interstitial pulmonary diseases with fibrosis
Incl.:
Diffuse pulmonary fibrosis
Fibrosing alveolitis (cryptogenic)
Hamman-Rich syndrome
Idiopathic pulmonary fibrosis
Usual interstitial pneumonia
Excl.:
pulmonary fibrosis (chronic):
  • due to inhalation of chemicals, gases, fumes or vapours (J68.4)
  • following radiation (J70.1)
J84.8 Other specified interstitial pulmonary diseases
J84.9 Interstitial pulmonary disease, unspecified
Incl.:
Interstitial pneumonia NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter X
Diseases of the respiratory system
(J00-J99)

J85 Abscess of lung and mediastinum

J85.0 Gangrene and necrosis of lung
J85.1 Abscess of lung with pneumonia
Excl.:
with pneumonia due to specified organism (J09-J16)
J85.2 Abscess of lung without pneumonia
Incl.:
Abscess of lung NOS
J85.3 Abscess of mediastinum

J86 Pyothorax

Incl.:
abscess of:
  • pleura
  • thorax
empyema
pyopneumothorax
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
Excl.:
due to tuberculosis (A15-A16)
J86.0 Pyothorax with fistula
J86.9 Pyothorax without fistula

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter X
Diseases of the respiratory system
(J00-J99)

J90 Pleural effusion, not elsewhere classified

Incl.:
Pleurisy with effusion
Excl.:
chylous (pleural) effusion (J94.0)
pleurisy NOS (R09.1)
tuberculous (A15-A16)

J91* Pleural effusion in conditions classified elsewhere

J92 Pleural plaque

Incl.:
pleural thickening
J92.0 Pleural plaque with presence of asbestos
J92.9 Pleural plaque without asbestos
Incl.:
Pleural plaque NOS

J93 Pneumothorax

Excl.:
pneumothorax:
  • congenital or perinatal (P25.1)
  • traumatic (S27.0)
  • tuberculous (current disease) (A15-A16)
pyopneumothorax (J86.-)
J93.0 Spontaneous tension pneumothorax
J93.1 Other spontaneous pneumothorax
J93.8 Other pneumothorax
J93.9 Pneumothorax, unspecified

J94 Other pleural conditions

Excl.:
pleurisy NOS (R09.1)
traumatic:
tuberculous pleural conditions (current disease) (A15-A16)
J94.0 Chylous effusion
Incl.:
Chyliform effusion
J94.1 Fibrothorax
J94.2 Haemothorax
Incl.:
Haemopneumothorax
J94.8 Other specified pleural conditions
Incl.:
Hydrothorax
J94.9 Pleural condition, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter X
Diseases of the respiratory system
(J00-J99)

J95 Postprocedural respiratory disorders, not elsewhere classified

Excl.:
emphysema (subcutaneous) resulting from a procedure (T81.8)
pulmonary manifestations due to radiation (J70.0-J70.1)
J95.0 Tracheostomy malfunction
Incl.:
Haemorrhage from tracheostomy stoma
Obstruction of tracheostomy airway
Sepsis of tracheostomy stoma
Tracheo-oesophageal fistula following tracheostomy
J95.1 Acute pulmonary insufficiency following thoracic surgery
J95.2 Acute pulmonary insufficiency following nonthoracic surgery
J95.3 Chronic pulmonary insufficiency following surgery
J95.4 Mendelson syndrome
Incl.:
Chemical pneumonitis due to aspiration during anesthesia
Excl.:
complicating:
J95.5 Postprocedural subglottic stenosis
J95.8 Other postprocedural respiratory disorders
J95.9 Postprocedural respiratory disorder, unspecified

J96 Respiratory failure, not elsewhere classified

Excl.:
cardiorespiratory failure (R09.2)
postprocedural respiratory failure (J95.-)
respiratory:
  • arrest (R09.2)
  • distress:
    • syndrome of adult (J80)
    • in newborn (P22.-)
Modifiers

The following supplementary subclassification is provided for optional use with subcategories in J96.- :

Code Title
0
Type I [hypoxic]
1
Type II [hypercapnic]
9
Type unspecified
J96.0 Acute respiratory failure
J96.1 Chronic respiratory failure
J96.9 Respiratory failure, unspecified

J98 Other respiratory disorders

Excl.:
apnoea:
J98.0 Diseases of bronchus, not elsewhere classified
Incl.:
Broncholithiasis
  • Calcification
  • Stenosis
  • Ulcer
  • of bronchus
Tracheobronchial:
  • collapse
  • dyskinesia
J98.1 Pulmonary collapse
Incl.:
Atelectasis
Collapse of lung
Excl.:
atelectasis (of):
J98.2 Interstitial emphysema
Incl.:
Mediastinal emphysema
Excl.:
emphysema:
  • NOS (J43.9)
  • in fetus and newborn (P25.0)
  • surgical (subcutaneous) (T81.8)
  • traumatic subcutaneous (T79.7)
J98.3 Compensatory emphysema
J98.4 Other disorders of lung
Incl.:
Calcification of lung
Cystic lung disease (acquired)
Lung disease NOS
Pulmolithiasis
J98.5 Diseases of mediastinum, not elsewhere classified
Incl.:
  • Fibrosis
  • Hernia
  • Retraction
  • of mediastinum
Mediastinitis
Excl.:
abscess of mediastinum (J85.3)
J98.6 Disorders of diaphragm
Incl.:
Diaphragmatitis
Paralysis of diaphragm
Relaxation of diaphragm
Excl.:
congenital malformation of diaphragm NEC (Q79.1)
diaphragmatic hernia (K44.-)
diaphragmatic hernia
J98.8 Other specified respiratory disorders
J98.9 Respiratory disorder, unspecified
Incl.:
Respiratory disease (chronic) NOS

J99* Respiratory disorders in diseases classified elsewhere

J99.0* Rheumatoid lung disease (M05.1†)
J99.1* Respiratory disorders in other diffuse connective tissue disorders
Incl.:
Respiratory disorders in:
J99.8* Respiratory disorders in other diseases classified elsewhere
Incl.:
Respiratory disorders in:

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XI
Diseases of the digestive system
(K00-K93)

K00 Disorders of tooth development and eruption

Excl.:
embedded and impacted teeth (K01.-)
K00.0 Anodontia
Incl.:
Hypodontia
Oligodontia
K00.1 Supernumerary teeth
Incl.:
Distomolar
Fourth molar
Mesiodens
Paramolar
Supplementary teeth
K00.2 Abnormalities of size and form of teeth
Incl.:
  • Concrescence
  • Fusion
  • Gemination
  • of teeth
Dens:
  • evaginatus
  • in dente
  • invaginatus
Enamel pearls
Macrodontia
Microdontia
Peg-shaped [conical] teeth
Taurodontism
Tuberculum paramolare
Excl.:
tuberculum Carabelli, which is regarded as a normal variation and should not be coded
K00.3 Mottled teeth
Incl.:
Dental fluorosis
Mottling of enamel
Nonfluoride enamel opacities
Excl.:
deposits [accretions] on teeth (K03.6)
K00.4 Disturbances in tooth formation
Incl.:
Aplasia and hypoplasia of cementum
Dilaceration of tooth
Enamel hypoplasia (neonatal)(postnatal)(prenatal)
Regional odontodysplasia
Turner tooth
Excl.:
Hutchinson teeth and mulberry molars in congenital syphilis (A50.5)
mottled teeth (K00.3)
K00.5 Hereditary disturbances in tooth structure, not elsewhere classified
Incl.:
  • Amelogenesis
  • Dentinogenesis
  • Odontogenesis
  • imperfecta
Dentinal dysplasia
Shell teeth
K00.6 Disturbances in tooth eruption
Incl.:
Dentia praecox
  • Natal
  • Neonatal
  • tooth
Premature:
  • eruption of tooth
  • shedding of primary [deciduous] tooth
Retained [persistent] primary tooth
K00.7 Teething syndrome
K00.8 Other disorders of tooth development
Incl.:
Colour changes during tooth formation
Intrinsic staining of teeth NOS
K00.9 Disorder of tooth development, unspecified
Incl.:
Disorder of odontogenesis NOS

K01 Embedded and impacted teeth

Excl.:
embedded and impacted teeth with abnormal position of such teeth or adjacent teeth (K07.3)
K01.0 Embedded teeth
Additional Text

An embedded tooth is a tooth that has failed to erupt without obstruction by another tooth.

K01.1 Impacted teeth
Additional Text

An impacted tooth is a tooth that has failed to erupt because of obstruction by another tooth.

K02 Dental caries

K02.0 Caries limited to enamel
Incl.:
White spot lesions [initial caries]
K02.1 Caries of dentine
K02.2 Caries of cementum
K02.3 Arrested dental caries
K02.4 Odontoclasia
Incl.:
Infantile melanodontia
Melanodontoclasia
K02.5 Caries with pulp exposure
K02.8 Other dental caries
K02.9 Dental caries, unspecified

K03 Other diseases of hard tissues of teeth

Excl.:
bruxism (F45.8)
dental caries (K02.-)
teeth-grinding NOS (F45.8)
K03.0 Excessive attrition of teeth
Incl.:
  • Wear:
    • approximal
    • occlusal
  • of teeth
K03.1 Abrasion of teeth
Incl.:
  • Abrasion:
    • dentifrice
    • habitual
    • occupational
    • ritual
    • traditional
  • Wedge defect NOS
  • of teeth
K03.2 Erosion of teeth
Incl.:
Erosion of teeth:
  • NOS
  • due to:
    • diet
    • drugs and medicaments
    • persistent vomiting
  • idiopathic
  • occupational
K03.3 Pathological resorption of teeth
Incl.:
Internal granuloma of pulp
Resorption of teeth (external)
K03.4 Hypercementosis
Incl.:
Cementation hyperplasia
K03.5 Ankylosis of teeth
K03.6 Deposits [accretions] on teeth
Incl.:
Dental calculus:
  • subgingival
  • supragingival
Deposits [accretions] on teeth:
  • betel
  • black
  • green
  • materia alba
  • orange
  • tobacco
Staining of teeth:
  • NOS
  • extrinsic NOS
K03.7 Posteruptive colour changes of dental hard tissues
Excl.:
deposits [accretions] on teeth (K03.6)
K03.8 Other specified diseases of hard tissues of teeth
Incl.:
Irradiated enamel
Sensitive dentine
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify radiation, if radiation-induced.
K03.9 Disease of hard tissues of teeth, unspecified

K04 Diseases of pulp and periapical tissues

K04.0 Pulpitis
Incl.:
Pulpitis:
  • NOS
  • acute
  • chronic (hyperplastic)(ulcerative)
  • irreversible
  • reversible
K04.1 Necrosis of pulp
Incl.:
Pulpal gangrene
K04.2 Pulp degeneration
Incl.:
Denticles
Pulpal:
  • calcifications
  • stones
K04.3 Abnormal hard tissue formation in pulp
Incl.:
Secondary or irregular dentine
K04.4 Acute apical periodontitis of pulpal origin
Incl.:
Acute apical periodontitis NOS
K04.5 Chronic apical periodontitis
Incl.:
Apical or periapical granuloma
Apical periodontitis NOS
K04.6 Periapical abscess with sinus
Incl.:
  • Dental
  • Dentoalveolar
  • abscess with sinus
K04.7 Periapical abscess without sinus
Incl.:
  • Dental
  • Dentoalveolar
  • Periapical
  • abscess NOS
K04.8 Radicular cyst
Incl.:
Cyst:
  • apical (periodontal)
  • periapical
  • residual radicular
Excl.:
lateral periodontal cyst (K09.0)
K04.9 Other and unspecified diseases of pulp and periapical tissues

K05 Gingivitis and periodontal diseases

K05.0 Acute gingivitis
Excl.:
acute necrotizing ulcerative gingivitis (A69.1)
herpesviral [herpes simplex] gingivostomatitis (B00.2)
K05.1 Chronic gingivitis
Incl.:
Gingivitis (chronic):
  • NOS
  • desquamative
  • hyperplastic
  • simple marginal
  • ulcerative
K05.2 Acute periodontitis
Incl.:
Acute pericoronitis
Parodontal abscess
Periodontal abscess
Excl.:
acute apical periodontitis (K04.4)
periapical abscess (K04.7)
periapical abscess with sinus (K04.6)
K05.3 Chronic periodontitis
Incl.:
Chronic pericoronitis
Periodontitis:
  • NOS
  • complex
  • simplex
K05.4 Periodontosis
Incl.:
Juvenile periodontosis
K05.5 Other periodontal diseases
K05.6 Periodontal disease, unspecified

K06 Other disorders of gingiva and edentulous alveolar ridge

Excl.:
atrophy of edentulous alveolar ridge (K08.2)
gingivitis:
K06.0 Gingival recession
Incl.:
Gingival recession (generalized)(localized)(postinfective)(post-operative)
K06.1 Gingival enlargement
Incl.:
Gingival fibromatosis
K06.2 Gingival and edentulous alveolar ridge lesions associated with trauma
Incl.:
Irritative hyperplasia of edentulous ridge [denture hyperplasia]
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
K06.8 Other specified disorders of gingiva and edentulous alveolar ridge
Incl.:
Fibrous epulis
Flabby ridge
Giant cell epulis
Peripheral giant cell granuloma
Pyogenic granuloma of gingiva
K06.9 Disorder of gingiva and edentulous alveolar ridge, unspecified

K07 Dentofacial anomalies [including malocclusion]

Excl.:
hemifacial atrophy or hypertrophy (Q67.4)
unilateral condylar hyperplasia or hypoplasia (K10.8)
K07.0 Major anomalies of jaw size
Incl.:
Hyperplasia, hypoplasia:
  • mandibular
  • maxillary
Macrognathism (mandibular)(maxillary)
Micrognathism (mandibular)(maxillary)
Excl.:
acromegaly (E22.0)
Robin syndrome (Q87.0)
K07.1 Anomalies of jaw-cranial base relationship
Incl.:
Asymmetry of jaw
Prognathism (mandibular)(maxillary)
Retrognathism (mandibular)(maxillary)
K07.2 Anomalies of dental arch relationship
Incl.:
Crossbite (anterior)(posterior)
Disto-occlusion
Mesio-occlusion
Midline deviation of dental arch
Openbite (anterior)(posterior)
Overbite (excessive):
  • deep
  • horizontal
  • vertical
Overjet
Posterior lingual occlusion of mandibular teeth
K07.3 Anomalies of tooth position
Incl.:
  • Crowding
  • Diastema
  • Displacement
  • Rotation
  • Spacing, abnormal
  • Transposition
  • of tooth or teeth
Impacted or embedded teeth with abnormal position of such teeth or adjacent teeth
Excl.:
embedded and impacted teeth without abnormal position (K01.-)
K07.4 Malocclusion, unspecified
K07.5 Dentofacial functional abnormalities
Incl.:
Abnormal jaw closure
Malocclusion due to:
  • abnormal swallowing
  • mouth breathing
  • tongue, lip or finger habits
Excl.:
bruxism (F45.8)
teeth-grinding NOS (F45.8)
K07.6 Temporomandibular joint disorders
Incl.:
Costen complex or syndrome
Derangement of temporomandibular joint
Snapping jaw
Temporomandibular joint-pain-dysfunction syndrome
Excl.:
current temporomandibular joint:
K07.8 Other dentofacial anomalies
K07.9 Dentofacial anomaly, unspecified

K08 Other disorders of teeth and supporting structures

K08.0 Exfoliation of teeth due to systemic causes
K08.1 Loss of teeth due to accident, extraction or local periodontal disease
K08.2 Atrophy of edentulous alveolar ridge
K08.3 Retained dental root
K08.8 Other specified disorders of teeth and supporting structures
Incl.:
Alveolar (process) cleft
Enlargement of alveolar ridge NOS
Irregular alveolar process
Toothache NOS
K08.9 Disorder of teeth and supporting structures, unspecified

K09 Cysts of oral region, not elsewhere classified

Incl.:
lesions showing histological features both of aneurysmal cyst and of another fibro-osseous lesion
Excl.:
radicular cyst (K04.8)
K09.0 Developmental odontogenic cysts
Incl.:
Cyst:
  • dentigerous
  • eruption
  • follicular
  • gingival
  • lateral periodontal
  • primordial
K09.1 Developmental (nonodontogenic) cysts of oral region
Incl.:
Cyst (of):
  • nasolabial [nasoalveolar]
  • nasopalatine duct [incisive canal]
K09.2 Other cysts of jaw
Incl.:
Cyst of jaw:
  • NOS
  • aneurysmal
  • haemorrhagic
  • traumatic
Excl.:
latent bone cyst of jaw (K10.0)
Stafne cyst (K10.0)
K09.8 Other cysts of oral region, not elsewhere classified
Incl.:
  • Dermoid cyst
  • Epidermoid cyst
  • Lymphoepithelial cyst
  • of mouth
Epstein pearl
K09.9 Cyst of oral region, unspecified

K10 Other diseases of jaws

K10.0 Developmental disorders of jaws
Incl.:
Latent bone cyst of jaw
Stafne cyst
Torus:
  • mandibularis
  • palatinus
K10.1 Giant cell granuloma, central
Incl.:
Giant cell granuloma NOS
Excl.:
peripheral giant cell granuloma (K06.8)
K10.2 Inflammatory conditions of jaws
Incl.:
  • Osteitis
  • Osteomyelitis (neonatal)
  • Osteonecrosis (drug-induced)(radiation-induced)
  • Osteo(radio)necrosis
  • Periostitis
  • of jaw (acute)(chronic)(suppurative)
Sequestrum of jaw bone
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify radiation, if radiation-induced, or to identify drug, if drug-induced.
K10.3 Alveolitis of jaws
Incl.:
Alveolar osteitis
Dry socket
K10.8 Other specified diseases of jaws
Incl.:
Cherubism
  • Exostosis
  • Fibrous dysplasia
  • of jaw
Unilateral condylar:
  • hyperplasia
  • hypoplasia
K10.9 Disease of jaws, unspecified

K11 Diseases of salivary glands

K11.0 Atrophy of salivary gland
K11.1 Hypertrophy of salivary gland
K11.2 Sialoadenitis
Excl.:
epidemic parotitis (B26.-)
uveoparotid fever [Heerfordt] (D86.8)
K11.3 Abscess of salivary gland
K11.4 Fistula of salivary gland
Excl.:
congenital fistula of salivary gland (Q38.4)
K11.5 Sialolithiasis
Incl.:
  • Calculus
  • Stone
  • of salivary gland or duct
K11.6 Mucocele of salivary gland
Incl.:
  • Mucous:
    • extravasation cyst
    • retention cyst
  • of salivary gland
Ranula
K11.7 Disturbances of salivary secretion
Incl.:
Hypoptyalism
Ptyalism
Xerostomia
Excl.:
dry mouth NOS (R68.2)
K11.8 Other diseases of salivary glands
Incl.:
Benign lymphoepithelial lesion of salivary gland
Mikulicz disease
Necrotizing sialometaplasia
Sialectasia
  • Stenosis
  • Stricture
  • of salivary duct
Excl.:
sicca syndrome [Sjögren] (M35.0)
K11.9 Disease of salivary gland, unspecified
Incl.:
Sialoadenopathy NOS

K12 Stomatitis and related lesions

Excl.:
cancrum oris (A69.0)
cheilitis (K13.0)
gangrenous stomatitis (A69.0)
herpesviral [herpes simplex] gingivostomatitis (B00.2)
noma (A69.0)
K12.0 Recurrent oral aphthae
Incl.:
Aphthous stomatitis (major)(minor)
Bednar aphthae
Periadenitis mucosa necrotica recurrens
Recurrent aphthous ulcer
Stomatitis herpetiformis
K12.1 Other forms of stomatitis
Incl.:
Stomatitis:
  • NOS
  • denture
  • ulcerative
  • vesicular
K12.2 Cellulitis and abscess of mouth
Incl.:
Cellulitis of mouth (floor)
Submandibular abscess
Excl.:
abscess (of):
K12.3 Oral mucositis (ulcerative)
Incl.:
Mucositis(oral) (oropharyngeal):
  • NOS
  • drug-induced
  • radiation induced
  • viral

Use additional external cause code (Chapter XX), if desired, to identify external agent

Excl.:
mucositis (ulcerative) of gastrointestinal tract (except oral cavity and oropharynx) (K92.8)

K13 Other diseases of lip and oral mucosa

Incl.:
epithelial disturbances of tongue
Excl.:
certain disorders of gingiva and edentulous alveolar ridge (K05-K06)
cysts of oral region (K09.-)
diseases of tongue (K14.-)
stomatitis and related lesions (K12.-)
K13.0 Diseases of lips
Incl.:
Cheilitis:
  • NOS
  • angular
  • exfoliative
  • glandular
Cheilodynia
Cheilosis
Perlèche NEC
Excl.:
ariboflavinosis (E53.0)
cheilitis due to radiation-related disorders (L55-L59)
perlèche due to:
  • candidiasis (B37.8)
  • riboflavin deficiency (E53.0)
K13.1 Cheek and lip biting
K13.2 Leukoplakia and other disturbances of oral epithelium, including tongue
Incl.:
  • Erythroplakia
  • Leukoedema
  • of oral epithelium, including tongue
Leukokeratosis nicotina palati
Smoker palate
Excl.:
hairy leukoplakia (K13.3)
K13.3 Hairy leukoplakia
K13.4 Granuloma and granuloma-like lesions of oral mucosa
Incl.:
  • Eosinophilic granuloma
  • Granuloma pyogenicum
  • Verrucous xanthoma
  • of oral mucosa
K13.5 Oral submucous fibrosis
Incl.:
Submucous fibrosis of tongue
K13.6 Irritative hyperplasia of oral mucosa
Excl.:
irritative hyperplasia of edentulous ridge [denture hyperplasia] (K06.2)
K13.7 Other and unspecified lesions of oral mucosa
Incl.:
Focal oral mucinosis

K14 Diseases of tongue

Excl.:
  • erythroplakia
  • focal epithelial hyperplasia
  • leukoedema
  • leukoplakia
hairy leukoplakia (K13.3)
macroglossia (congenital) (Q38.2)
submucous fibrosis of tongue (K13.5)
K14.0 Glossitis
Incl.:
  • Abscess
  • Ulceration (traumatic)
  • of tongue
Excl.:
atrophic glossitis (K14.4)
K14.1 Geographic tongue
Incl.:
Benign migratory glossitis
Glossitis areata exfoliativa
K14.2 Median rhomboid glossitis
K14.3 Hypertrophy of tongue papillae
Incl.:
Black hairy tongue
Coated tongue
Hypertrophy of foliate papillae
Lingua villosa nigra
K14.4 Atrophy of tongue papillae
Incl.:
Atrophic glossitis
K14.5 Plicated tongue
Incl.:
  • Fissured
  • Furrowed
  • Scrotal
  • tongue
Excl.:
fissured tongue, congenital (Q38.3)
K14.6 Glossodynia
Incl.:
Glossopyrosis
Painful tongue
K14.8 Other diseases of tongue
Incl.:
  • Atrophy
  • Crenated
  • Enlargement
  • Hypertrophy
  • (of) tongue
K14.9 Disease of tongue, unspecified
Incl.:
Glossopathy NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XI
Diseases of the digestive system
(K00-K93)

Diseases of oesophagus, stomach and duodenum
(K20-K31)

Excl.:
hiatus hernia (K44.-)
Modifiers

The following fourth-character subdivisions are for use with categories K25-K28:

Code Title
.0
Acute with haemorrhage
.1
Acute with perforation
.2
Acute with both haemorrhage and perforation
.3
Acute without haemorrhage or perforation
.4
Chronic or unspecified with haemorrhage
.5
Chronic or unspecified with perforation
.6
Chronic or unspecified with both haemorrhage and perforation
.7
Chronic without haemorrhage or perforation
.9
Unspecified as acute or chronic, without haemorrhage or perforation

K20 Oesophagitis

Incl.:
Abscess of oesophagus
Oesophagitis:
  • NOS
  • chemical
  • peptic
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
Excl.:
erosion of oesophagus (K22.1)
reflux oesophagitis (K21.0)
with gastro-oesophageal reflux disease (K21.0)

K21 Gastro-oesophageal reflux disease

K21.0 Gastro-oesophageal reflux disease with oesophagitis
Incl.:
Reflux oesophagitis
K21.9 Gastro-oesophageal reflux disease without oesophagitis
Incl.:
Oesophageal reflux NOS

K22 Other diseases of oesophagus

Excl.:
oesophageal varices (I85.-)
K22.0 Achalasia of cardia
Incl.:
Achalasia NOS
Cardiospasm
Excl.:
congenital cardiospasm (Q39.5)
K22.1 Ulcer of oesophagus
Incl.:
Erosion of oesophagus
Ulcer of oesophagus:
  • NOS
  • due to ingestion of:
    • chemicals
    • drugs and medicaments
  • fungal
  • peptic
Ulcerative oesophagitis
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
K22.2 Oesophageal obstruction
Incl.:
  • Compression
  • Constriction
  • Stenosis
  • Stricture
  • of oesophagus
Excl.:
congenital stenosis or stricture of oesophagus (Q39.3)
K22.3 Perforation of oesophagus
Incl.:
Rupture of oesophagus
Excl.:
traumatic perforation of (thoracic) oesophagus (S27.8)
K22.4 Dyskinesia of oesophagus
Incl.:
Corkscrew oesophagus
Diffuse oesophageal spasm
Spasm of oesophagus
Excl.:
cardiospasm (K22.0)
K22.5 Diverticulum of oesophagus, acquired
Incl.:
Oesophageal pouch, acquired
Excl.:
diverticulum of oesophagus (congenital) (Q39.6)
K22.6 Gastro-oesophageal laceration-haemorrhage syndrome
Incl.:
Mallory-Weiss syndrome
K22.7 Barrett oesophagus
Incl.:
Barrett:
  • disease
  • syndrome
Excl.:
Barrett ulcer (K22.1)
K22.8 Other specified diseases of oesophagus
Incl.:
Haemorrhage of oesophagus NOS
K22.9 Disease of oesophagus, unspecified

K23* Disorders of oesophagus in diseases classified elsewhere

K23.0* Tuberculous oesophagitis (A18.8†)
K23.1* Megaoesophagus in Chagas disease (B57.3†)
K23.8* Disorders of oesophagus in other diseases classified elsewhere

K25 Gastric ulcer

Incl.:
erosion (acute) of stomach
ulcer (peptic):
  • pylorus
  • stomach
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
Excl.:
acute haemorrhagic erosive gastritis (K29.0)
peptic ulcer NOS (K27.-)

K26 Duodenal ulcer

Incl.:
erosion (acute) of duodenum
ulcer (peptic):
  • duodenal
  • postpyloric
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
Excl.:
peptic ulcer NOS (K27.-)

K27 Peptic ulcer, site unspecified

Incl.:
gastroduodenal ulcer NOS
peptic ulcer NOS
Excl.:
peptic ulcer of newborn (P78.8)

K28 Gastrojejunal ulcer

Incl.:
ulcer (peptic) or erosion:
  • anastomotic
  • gastrocolic
  • gastrointestinal
  • gastrojejunal
  • jejunal
  • marginal
  • stomal
Excl.:
primary ulcer of small intestine (K63.3)

K29 Gastritis and duodenitis

Excl.:
eosinophilic gastritis or gastroenteritis (K52.8)
Zollinger-Ellison syndrome (E16.4)
K29.0 Acute haemorrhagic gastritis
Incl.:
Acute (erosive) gastritis with haemorrhage
Excl.:
erosion (acute) of stomach (K25.-)
K29.1 Other acute gastritis
K29.2 Alcoholic gastritis
K29.3 Chronic superficial gastritis
K29.4 Chronic atrophic gastritis
Incl.:
Gastric atrophy
K29.5 Chronic gastritis, unspecified
Incl.:
Chronic gastritis:
  • antral
  • fundal
K29.6 Other gastritis
Incl.:
Giant hypertrophic gastritis
Granulomatous gastritis
Ménétrier disease
Excl.:
with gastro-oesophageal reflux disease (K21.-)
with Helicobacter pylori associated chronic gastritis (K29.5)
K29.7 Gastritis, unspecified
K29.8 Duodenitis
K29.9 Gastroduodenitis, unspecified

K30 Functional dyspepsia

Incl.:
Indigestion
Excl.:
dyspepsia:
heartburn (R12)

K31 Other diseases of stomach and duodenum

Incl.:
functional disorders of stomach
Excl.:
diverticulum of duodenum (K57.0-K57.1)
gastrointestinal haemorrhage (K92.0-K92.2)
K31.0 Acute dilatation of stomach
Incl.:
Acute distension of stomach
K31.1 Adult hypertrophic pyloric stenosis
Incl.:
Pyloric stenosis NOS
Excl.:
congenital or infantile pyloric stenosis (Q40.0)
K31.2 Hourglass stricture and stenosis of stomach
Excl.:
congenital hourglass stomach (Q40.2)
hourglass contraction of stomach (K31.8)
K31.3 Pylorospasm, not elsewhere classified
Excl.:
pylorospasm:
K31.4 Gastric diverticulum
Excl.:
congenital diverticulum of stomach (Q40.2)
K31.5 Obstruction of duodenum
Incl.:
  • Constriction
  • Stenosis
  • Stricture
  • of duodenum
Duodenal ileus (chronic)
Excl.:
congenital stenosis of duodenum (Q41.0)
K31.6 Fistula of stomach and duodenum
Incl.:
Gastrocolic fistula
Gastrojejunocolic fistula
K31.7 Polyp of stomach and duodenum
Excl.:
adenomatous polyp of stomach (D13.1)
K31.8 Other specified diseases of stomach and duodenum
Incl.:
Achlorhydria
Gastroptosis
Hourglass contraction of stomach
K31.9 Disease of stomach and duodenum, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XI
Diseases of the digestive system
(K00-K93)

K35 Acute appendicitis

K35.2 Acute appendicitis with generalized peritonitis
Incl.:
Appendicitis (acute) with generalized (diffuse) peritonitis following rupture or perforation
K35.3 Acute appendicitis with localized peritonitis
Incl.:
Acute appendicitis (with or without perforation or rupture) with peritonitis:
  • NOS
  • localized
Acute appendicitis with peritoneal abscess
K35.8 Acute appendicitis, other and unspecified
Incl.:
Acute appendicitis without mention of localized or generalized peritonitis

K36 Other appendicitis

Incl.:
Appendicitis:
  • chronic
  • recurrent

K37 Unspecified appendicitis

K38 Other diseases of appendix

K38.0 Hyperplasia of appendix
K38.1 Appendicular concretions
Incl.:
  • Faecalith
  • Stercolith
  • of appendix
K38.2 Diverticulum of appendix
K38.3 Fistula of appendix
K38.8 Other specified diseases of appendix
Incl.:
Intussusception of appendix
K38.9 Disease of appendix, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XI
Diseases of the digestive system
(K00-K93)

Hernia
(K40-K46)

Note:

Hernia with both gangrene and obstruction is classified to hernia with gangrene.

Incl.:
hernia:
  • acquired
  • congenital [except diaphragmatic or hiatus]
  • recurrent

K40 Inguinal hernia

Incl.:
bubonocele
inguinal hernia:
  • NOS
  • direct
  • double
  • indirect
  • oblique
scrotal hernia
K40.0 Bilateral inguinal hernia, with obstruction, without gangrene
K40.1 Bilateral inguinal hernia, with gangrene
K40.2 Bilateral inguinal hernia, without obstruction or gangrene
Incl.:
Bilateral inguinal hernia NOS
K40.3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene
Incl.:
  • Inguinal hernia (unilateral):
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K40.4 Unilateral or unspecified inguinal hernia, with gangrene
Incl.:
Inguinal hernia NOS with gangrene
K40.9 Unilateral or unspecified inguinal hernia, without obstruction or gangrene
Incl.:
Inguinal hernia (unilateral) NOS

K41 Femoral hernia

K41.0 Bilateral femoral hernia, with obstruction, without gangrene
K41.1 Bilateral femoral hernia, with gangrene
K41.2 Bilateral femoral hernia, without obstruction or gangrene
Incl.:
Bilateral femoral hernia NOS
K41.3 Unilateral or unspecified femoral hernia, with obstruction, without gangrene
Incl.:
  • Femoral hernia (unilateral):
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K41.4 Unilateral or unspecified femoral hernia, with gangrene
K41.9 Unilateral or unspecified femoral hernia, without obstruction or gangrene
Incl.:
Femoral hernia (unilateral) NOS

K42 Umbilical hernia

Incl.:
paraumbilical hernia
Excl.:
omphalocele (Q79.2)
K42.0 Umbilical hernia with obstruction, without gangrene
Incl.:
  • Umbilical hernia:
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K42.1 Umbilical hernia with gangrene
Incl.:
Gangrenous umbilical hernia
K42.9 Umbilical hernia without obstruction or gangrene
Incl.:
Umbilical hernia NOS

K43 Ventral hernia

K43.0 Incisional hernia with obstruction, without gangrene
Incl.:
  • Incisional hernia:
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K43.1 Incisional hernia with gangrene
Incl.:
Gangrenous incisional hernia
K43.2 Incisional hernia without obstruction or gangrene
Incl.:
Incisional hernia NOS
K43.3 Parastomal hernia with obstruction, without gangrene
Incl.:
  • Parastomal hernia:
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K43.4 Parastomal hernia with gangrene
Incl.:
Gangrenous parastomal hernia
K43.5 Parastomal hernia without obstruction or gangrene
Incl.:
Parastomal hernia NOS
K43.6 Other and unspecified ventral hernia with obstruction without gangrene
Incl.:
Hernia:
  • epigastric
  • hypogastric
  • midline
  • spigelian
  • subxiphoid
  • Any condition listed under K43.6
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K43.7 Other and unspecified ventral hernia with gangrene
Incl.:
Any condition listed under K43.6 specified as gangrenous
K43.9 Other and unspecified ventral hernia without obstruction or gangrene
Incl.:
Ventral hernia NOS

K44 Diaphragmatic hernia

Incl.:
hiatus hernia (oesophageal)(sliding)
paraoesophageal hernia
Excl.:
congenital hernia:
K44.0 Diaphragmatic hernia with obstruction, without gangrene
Incl.:
  • Diaphragmatic hernia:
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K44.1 Diaphragmatic hernia with gangrene
Incl.:
Gangrenous diaphragmatic hernia
K44.9 Diaphragmatic hernia without obstruction or gangrene
Incl.:
Diaphragmatic hernia NOS

K45 Other abdominal hernia

Incl.:
hernia:
  • abdominal, specified site NEC
  • lumbar
  • obturator
  • pudendal
  • retroperitoneal
  • sciatic
K45.0 Other specified abdominal hernia with obstruction, without gangrene
Incl.:
  • Any condition listed under K45:
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K45.1 Other specified abdominal hernia with gangrene
Incl.:
Any condition listed under K45 specified as gangrenous
K45.8 Other specified abdominal hernia without obstruction or gangrene

K46 Unspecified abdominal hernia

Incl.:
enterocele
epiplocele
hernia:
  • NOS
  • interstitial
  • intestinal
  • intra-abdominal
Excl.:
vaginal enterocele (N81.5)
K46.0 Unspecified abdominal hernia with obstruction, without gangrene
Incl.:
  • Any condition listed under K46:
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K46.1 Unspecified abdominal hernia with gangrene
Incl.:
Any condition listed under K46 specified as gangrenous
K46.9 Unspecified abdominal hernia without obstruction or gangrene
Incl.:
Abdominal hernia NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XI
Diseases of the digestive system
(K00-K93)

Noninfective enteritis and colitis
(K50-K52)

Incl.:
noninfective inflammatory bowel disease
Excl.:
irritable bowel syndrome (K58.-)
megacolon (K59.3)

K50 Crohn disease [regional enteritis]

Incl.:
granulomatous enteritis
Excl.:
ulcerative colitis (K51.-)
K50.0 Crohn disease of small intestine
Incl.:
Crohn disease [regional enteritis] of:
  • duodenum
  • ileum
  • jejunum
Ileitis:
  • regional
  • terminal
Excl.:
with Crohn disease of large intestine (K50.8)
K50.1 Crohn disease of large intestine
Incl.:
Colitis:
  • granulomatous
  • regional
Crohn disease [regional enteritis] of:
  • colon
  • large bowel
  • rectum
Excl.:
with Crohn disease of small intestine (K50.8)
K50.8 Other Crohn disease
Incl.:
Crohn disease of both small and large intestine
K50.9 Crohn disease, unspecified
Incl.:
Regional enteritis NOS

K51 Ulcerative colitis

K51.0 Ulcerative (chronic) pancolitis
Incl.:
backwash ileitis
K51.2 Ulcerative (chronic) proctitis
K51.3 Ulcerative (chronic) rectosigmoiditis
K51.4 Inflammatory polyps
K51.5 Left sided colitis
Incl.:
left hemicolitis
K51.8 Other ulcerative colitis
K51.9 Ulcerative colitis, unspecified

K52 Other noninfective gastroenteritis and colitis

K52.0 Gastroenteritis and colitis due to radiation
K52.1 Toxic gastroenteritis and colitis
Incl.:
Drug-induced gastroenteritis and colitis
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced, or toxic agent.
K52.2 Allergic and dietetic gastroenteritis and colitis
Incl.:
Food hypersensitivity gastroenteritis or colitis
K52.3 Indeterminate colitis
K52.8 Other specified noninfective gastroenteritis and colitis
Incl.:
Collagenous colitis
Eosinophilic gastritis or gastroenteritis
Lymphocytic colitis
Microscopic colitis (collagenous colitis or lymphocytic colitis)
K52.9 Noninfective gastroenteritis and colitis, unspecified
Incl.:
  • Diarrhoea
  • Enteritis
  • Ileitis
  • Jejunitis
  • Sigmoiditis
  • specified as noninfectious
Excl.:
colitis, diarrhoea, enteritis, gastroenteritis:
functional diarrhoea (K59.1)
neonatal diarrhoea (noninfective) (P78.3)
psychogenic diarrhoea (F45.3)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XI
Diseases of the digestive system
(K00-K93)

K55 Vascular disorders of intestine

Excl.:
necrotizing enterocolitis of fetus or newborn (P77)
K55.0 Acute vascular disorders of intestine
Incl.:
Acute:
  • fulminant ischaemic colitis
  • intestinal infarction
  • small intestine ischaemia
Mesenteric (artery)(vein):
  • embolism
  • infarction
  • thrombosis
Subacute ischaemic colitis
K55.1 Chronic vascular disorders of intestine
Incl.:
Chronic ischaemic:
  • colitis
  • enteritis
  • enterocolitis
Ischaemic stricture of intestine
Mesenteric:
  • atherosclerosis
  • vascular insufficiency
K55.2 Angiodysplasia of colon
K55.8 Other vascular disorders of intestine
K55.9 Vascular disorder of intestine, unspecified
Incl.:
  • Ischaemic:
    • colitis
    • enteritis
    • enterocolitis
  • NOS

K56 Paralytic ileus and intestinal obstruction without hernia

Excl.:
congenital stricture or stenosis of intestine (Q41-Q42)
ischaemic stricture of intestine (K55.1)
meconium ileus (E84.1)
obstruction of duodenum (K31.5)
postoperative intestinal obstruction (K91.3)
stenosis of anus or rectum (K62.4)
with hernia (K40-K46)
K56.0 Paralytic ileus
Incl.:
Paralysis of:
  • bowel
  • colon
  • intestine
Excl.:
gallstone ileus (K56.3)
ileus NOS (K56.7)
obstructive ileus NOS (K56.6)
K56.1 Intussusception
Incl.:
Intussusception or invagination of:
  • bowel
  • colon
  • intestine
  • rectum
Excl.:
intussusception of appendix (K38.8)
K56.2 Volvulus
Incl.:
  • Strangulation
  • Torsion
  • Twist
  • of colon or intestine
K56.3 Gallstone ileus
Incl.:
Obstruction of intestine by gallstone
K56.4 Other impaction of intestine
Incl.:
Enterolith
Impaction (of):
  • colon
  • faecal
K56.5 Intestinal adhesions [bands] with obstruction
Incl.:
Peritoneal adhesions [bands] with intestinal obstruction
K56.6 Other and unspecified intestinal obstruction
Incl.:
Enterostenosis
Obstructive ileus NOS
  • Occlusion
  • Stenosis
  • Stricture
  • of colon or intestine
Excl.:
other and unspecified neonatal intestinal obstruction classifiable to P76.8, P76.9
K56.7 Ileus, unspecified

K57 Diverticular disease of intestine

Incl.:
  • diverticulitis
  • diverticulosis
  • diverticulum
  • of (small)(large) intestine
Excl.:
congenital diverticulum of intestine (Q43.8)
diverticulum of appendix (K38.2)
Meckel diverticulum (Q43.0)
K57.0 Diverticular disease of small intestine with perforation and abscess
Incl.:
Diverticular disease of small intestine with peritonitis
Excl.:
diverticular disease of both small and large intestine with perforation and abscess (K57.4)
K57.1 Diverticular disease of small intestine without perforation or abscess
Incl.:
Diverticular disease of small intestine NOS
Excl.:
diverticular disease of both small and large intestine without perforation or abscess (K57.5)
K57.2 Diverticular disease of large intestine with perforation and abscess
Incl.:
Diverticular disease of colon with peritonitis
Excl.:
diverticular disease of both small and large intestine with perforation and abscess (K57.4)
K57.3 Diverticular disease of large intestine without perforation or abscess
Incl.:
Diverticular disease of colon NOS
Excl.:
diverticular disease of both small and large intestine without perforation or abscess (K57.5)
K57.4 Diverticular disease of both small and large intestine with perforation and abscess
Incl.:
Diverticular disease of both small and large intestine with peritonitis
K57.5 Diverticular disease of both small and large intestine without perforation or abscess
Incl.:
Diverticular disease of both small and large intestine NOS
K57.8 Diverticular disease of intestine, part unspecified, with perforation and abscess
Incl.:
Diverticular disease of intestine NOS with peritonitis
K57.9 Diverticular disease of intestine, part unspecified, without perforation or abscess
Incl.:
Diverticular disease of intestine NOS

K58 Irritable bowel syndrome

Incl.:
irritable colon
K58.0 Irritable bowel syndrome with diarrhoea
K58.9 Irritable bowel syndrome without diarrhoea
Incl.:
Irritable bowel syndrome NOS

K59 Other functional intestinal disorders

Excl.:
change in bowel habit NOS (R19.4)
functional disorders of stomach (K31.-)
intestinal malabsorption (K90.-)
psychogenic intestinal disorders (F45.3)
K59.0 Constipation
K59.1 Functional diarrhoea
K59.2 Neurogenic bowel, not elsewhere classified
K59.3 Megacolon, not elsewhere classified
Incl.:
Dilatation of colon
Toxic megacolon
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify toxic agent.
Excl.:
megacolon (due to) (in):
  • Chagas disease (B57.3)
  • Clostridium difficile (A04.7)
  • congenital (aganglionic) (Q43.1)
  • Hirschsprung disease (Q43.1)
K59.4 Anal spasm
Incl.:
Proctalgia fugax
K59.8 Other specified functional intestinal disorders
Incl.:
Atony of colon
K59.9 Functional intestinal disorder, unspecified

K60 Fissure and fistula of anal and rectal regions

Excl.:
with abscess or cellulitis (K61.-)
K60.0 Acute anal fissure
K60.1 Chronic anal fissure
K60.2 Anal fissure, unspecified
K60.3 Anal fistula
K60.4 Rectal fistula
Incl.:
Fistula of rectum to skin
Excl.:
fistula:
K60.5 Anorectal fistula

K61 Abscess of anal and rectal regions

Incl.:
  • abscess
  • cellulitis
  • of anal and rectal regions with or without fistula
K61.0 Anal abscess
Incl.:
Perianal abscess
Excl.:
intrasphincteric abscess (K61.4)
K61.1 Rectal abscess
Incl.:
Perirectal abscess
Excl.:
ischiorectal abscess (K61.3)
K61.2 Anorectal abscess
K61.3 Ischiorectal abscess
Incl.:
Abscess of ischiorectal fossa
K61.4 Intrasphincteric abscess

K62 Other diseases of anus and rectum

Incl.:
anal canal
Excl.:
colostomy and enterostomy malfunction (K91.4)
faecal incontinence (R15)
haemorrhoids (K64.-)
ulcerative proctitis (K51.2)
K62.0 Anal polyp
K62.1 Rectal polyp
Excl.:
adenomatous polyp (D12.8)
K62.2 Anal prolapse
Incl.:
Prolapse of anal canal
K62.3 Rectal prolapse
Incl.:
Prolapse of rectal mucosa
K62.4 Stenosis of anus and rectum
Incl.:
Stricture of anus (sphincter)
K62.5 Haemorrhage of anus and rectum
Excl.:
neonatal rectal haemorrhage (P54.2)
K62.6 Ulcer of anus and rectum
Incl.:
Ulcer:
  • solitary
  • stercoral
Excl.:
fissure and fistula of anus and rectum (K60.-)
in ulcerative colitis (K51.-)
K62.7 Radiation proctitis
K62.8 Other specified diseases of anus and rectum
Incl.:
Proctitis NOS
K62.9 Disease of anus and rectum, unspecified

K63 Other diseases of intestine

K63.0 Abscess of intestine
Excl.:
abscess of:
  • anal and rectal regions (K61.-)
  • appendix (K35.3)
with diverticular disease (K57.-)
K63.1 Perforation of intestine (nontraumatic)
Excl.:
perforation (nontraumatic) of:
with diverticular disease (K57.-)
K63.2 Fistula of intestine
Excl.:
fistula (of):
K63.3 Ulcer of intestine
Incl.:
Primary ulcer of small intestine
Excl.:
ulcer (of):
ulcerative colitis (K51.-)
K63.4 Enteroptosis
K63.5 Polyp of colon
Excl.:
adenomatous polyp of colon (D12.6)
polyposis of colon (D12.6)
K63.8 Other specified diseases of intestine
K63.9 Disease of intestine, unspecified

K64 Haemorrhoids and perianal venous thrombosis

Incl.:
piles
Excl.:
complicating:
  • childbirth and the puerperium (O87.2)
  • pregnancy (O22.4)
K64.0 First degree haemorrhoids
Incl.:
Grade/stage I haemorrhoids
Haemorrhoids (bleeding) without prolapse outside of anal canal
K64.1 Second degree haemorrhoids
Incl.:
Grade/stage II haemorrhoids
Haemorrhoids (bleeding) that prolapse with straining, but retract spontaneously
K64.2 Third degree haemorrhoids
Incl.:
Grade/stage III haemorrhoids
Haemorrhoids (bleeding) that prolapse with straining and require manual replacement back inside anal canal
K64.3 Fourth degree haemorrhoids
Incl.:
Grade/stage IV haemorrhoids
Haemorrhoids (bleeding) with prolapsed tissue that cannot be manually replaced
K64.4 Residual haemorrhoidal skin tags
Incl.:
Skin tags of anus
K64.5 Perianal venous thrombosis
Incl.:
Perianal haematoma
K64.8 Other specified haemorrhoids
K64.9 Haemorrhoids, unspecified
Incl.:
Haemorrhoids (bleeding):
  • NOS
  • without mention of degree

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XI
Diseases of the digestive system
(K00-K93)

K65 Peritonitis

Excl.:
peritonitis:
K65.0 Acute peritonitis
Incl.:
Abscess (of):
  • abdominopelvic
  • mesenteric
  • omentum
  • peritoneum
  • retrocaecal
  • retroperitoneal
  • subdiaphragmatic
  • subhepatic
  • subphrenic
Peritonitis (acute):
  • generalized
  • pelvic, male
  • subphrenic
  • suppurative
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
K65.8 Other peritonitis
Incl.:
Chronic proliferative peritonitis
Mesenteric:
  • fat necrosis
  • saponification
Peritonitis due to:
  • bile
  • urine
K65.9 Peritonitis, unspecified

K66 Other disorders of peritoneum

Excl.:
ascites (R18)
K66.0 Peritoneal adhesions
Incl.:
Adhesions (of):
  • abdominal (wall)
  • diaphragm
  • intestine
  • male pelvis
  • mesenteric
  • omentum
  • stomach
Adhesive bands
Excl.:
adhesions [bands] (of):
  • female pelvis (N73.6)
  • with intestinal obstruction (K56.5)
K66.1 Haemoperitoneum
Excl.:
traumatic haemoperitoneum (S36.8)
K66.8 Other specified disorders of peritoneum
K66.9 Disorder of peritoneum, unspecified

K67* Disorders of peritoneum in infectious diseases classified elsewhere

K67.0* Chlamydial peritonitis (A74.8†)
K67.1* Gonococcal peritonitis (A54.8†)
K67.2* Syphilitic peritonitis (A52.7†)
K67.3* Tuberculous peritonitis (A18.3†)
K67.8* Other disorders of peritoneum in infectious diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XI
Diseases of the digestive system
(K00-K93)

Diseases of liver
(K70-K77)

Excl.:
haemochromatosis (E83.1)
jaundice NOS (R17)
Reye syndrome (G93.7)
viral hepatitis (B15-B19)
Wilson disease (E83.0)

K70 Alcoholic liver disease

K70.0 Alcoholic fatty liver
K70.1 Alcoholic hepatitis
K70.2 Alcoholic fibrosis and sclerosis of liver
K70.3 Alcoholic cirrhosis of liver
Incl.:
Alcoholic cirrhosis NOS
K70.4 Alcoholic hepatic failure
Incl.:
Alcoholic hepatic failure:
  • NOS
  • acute
  • chronic
  • subacute
  • with or without hepatic coma
K70.9 Alcoholic liver disease, unspecified

K71 Toxic liver disease

Incl.:
drug-induced:
  • idiosyncratic (unpredictable) liver disease
  • toxic (predictable) liver disease
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify toxic agent.
Excl.:
alcoholic liver disease (K70.-)
Budd-Chiari syndrome (I82.0)
K71.0 Toxic liver disease with cholestasis
Incl.:
Cholestasis with hepatocyte injury
"Pure" cholestasis
K71.1 Toxic liver disease with hepatic necrosis
Incl.:
Hepatic failure (acute)(chronic) due to drugs
K71.2 Toxic liver disease with acute hepatitis
K71.3 Toxic liver disease with chronic persistent hepatitis
K71.4 Toxic liver disease with chronic lobular hepatitis
K71.5 Toxic liver disease with chronic active hepatitis
Incl.:
Toxic liver disease with lupoid hepatitis
K71.6 Toxic liver disease with hepatitis, not elsewhere classified
K71.7 Toxic liver disease with fibrosis and cirrhosis of liver
K71.8 Toxic liver disease with other disorders of liver
Incl.:
Toxic liver disease with:
  • focal nodular hyperplasia
  • hepatic granulomas
  • peliosis hepatis
  • veno-occlusive disease of liver
K71.9 Toxic liver disease, unspecified

K72 Hepatic failure, not elsewhere classified

Incl.:
hepatic:
  • coma NOS
  • encephalopathy NOS
  • hepatitis:
    • fulminant
    • malignant
  • NEC, with hepatic failure
liver (cell) necrosis with hepatic failure
yellow liver atrophy or dystrophy
Excl.:
alcoholic hepatic failure (K70.4)
hepatic failure complicating:
  • abortion or ectopic or molar pregnancy (O00-O07, O08.8)
  • pregnancy, childbirth and the puerperium (O26.6)
icterus of fetus and newborn (P55-P59)
viral hepatitis (B15-B19)
with toxic liver disease (K71.1)
K72.0 Acute and subacute hepatic failure
Incl.:
Acute non-viral hepatitis NOS
K72.1 Chronic hepatic failure
K72.9 Hepatic failure, unspecified

K73 Chronic hepatitis, not elsewhere classified

Excl.:
hepatitis (chronic):
K73.0 Chronic persistent hepatitis, not elsewhere classified
K73.1 Chronic lobular hepatitis, not elsewhere classified
K73.2 Chronic active hepatitis, not elsewhere classified
K73.8 Other chronic hepatitis, not elsewhere classified
K73.9 Chronic hepatitis, unspecified

K74 Fibrosis and cirrhosis of liver

Excl.:
alcoholic fibrosis of liver (K70.2)
cardiac sclerosis of liver (K76.1)
cirrhosis (of liver):
with toxic liver disease (K71.7)
K74.0 Hepatic fibrosis
K74.1 Hepatic sclerosis
K74.2 Hepatic fibrosis with hepatic sclerosis
K74.3 Primary biliary cirrhosis
Incl.:
Chronic nonsuppurative destructive cholangitis
K74.4 Secondary biliary cirrhosis
K74.5 Biliary cirrhosis, unspecified
K74.6 Other and unspecified cirrhosis of liver
Incl.:
Cirrhosis (of liver):
  • NOS
  • cryptogenic
  • macronodular
  • micronodular
  • mixed type
  • portal
  • postnecrotic

K75 Other inflammatory liver diseases

Excl.:
chronic hepatitis NEC (K73.-)
hepatitis:
toxic liver disease (K71.-)
K75.0 Abscess of liver
Incl.:
Hepatic abscess:
  • NOS
  • cholangitic
  • haematogenic
  • lymphogenic
  • pylephlebitic
Excl.:
amoebic liver abscess (A06.4†) , (K77.0*)
cholangitis without liver abscess (K83.0)
pylephlebitis without liver abscess (K75.1)
K75.1 Phlebitis of portal vein
Incl.:
Pylephlebitis
Excl.:
pylephlebitic liver abscess (K75.0)
K75.2 Nonspecific reactive hepatitis
K75.3 Granulomatous hepatitis, not elsewhere classified
K75.4 Autoimmune hepatitis
Incl.:
Lupoid hepatitis NEC
K75.8 Other specified inflammatory liver diseases
Incl.:
Nonalcoholic steatohepatitis [NASH]
K75.9 Inflammatory liver disease, unspecified
Incl.:
Hepatitis NOS

K76 Other diseases of liver

Excl.:
alcoholic liver disease (K70.-)
amyloid degeneration of liver (E85.-)
cystic disease of liver (congenital) (Q44.6)
hepatic vein thrombosis (I82.0)
hepatomegaly NOS (R16.0)
portal vein thrombosis (I81)
toxic liver disease (K71.-)
K76.0 Fatty (change of) liver, not elsewhere classified
Incl.:
Nonalcoholic fatty liver disease [NAFLD]
Excl.:
nonalcoholic steatohepatitis (K75.8)
K76.1 Chronic passive congestion of liver
Incl.:
  • Cardiac:
    • cirrhosis (so-called)
    • sclerosis
  • of liver
K76.2 Central haemorrhagic necrosis of liver
Excl.:
liver necrosis with hepatic failure (K72.-)
K76.3 Infarction of liver
K76.4 Peliosis hepatis
Incl.:
Hepatic angiomatosis
K76.5 Hepatic veno-occlusive disease
Excl.:
Budd-Chiari syndrome (I82.0)
K76.6 Portal hypertension
K76.7 Hepatorenal syndrome
Excl.:
following labour and delivery (O90.4)
K76.8 Other specified diseases of liver
Incl.:
Simple cyst of liver
Focal nodular hyperplasia of liver
Hepatoptosis
K76.9 Liver disease, unspecified

K77* Liver disorders in diseases classified elsewhere

K77.0* Liver disorders in infectious and parasitic diseases classified elsewhere
Incl.:
Amoebic liver abscess (A06.4†)
Hepatitis:
Hepatosplenic schistosomiasis (B65.-†)
Portal hypertension in schistosomiasis (B65.-†)
Syphilitic liver disease (A52.7†)
K77.8* Liver disorders in other diseases classified elsewhere
Incl.:
Hepatic granulomas in:

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XI
Diseases of the digestive system
(K00-K93)

K80 Cholelithiasis

K80.0 Calculus of gallbladder with acute cholecystitis
Incl.:
Any condition listed in K80.2 with acute cholecystitis
K80.1 Calculus of gallbladder with other cholecystitis
Incl.:
Any condition listed in K80.2 with cholecystitis (chronic)
Cholecystitis with cholelithiasis NOS
K80.2 Calculus of gallbladder without cholecystitis
Incl.:
  • Cholecystolithiasis
  • Cholelithiasis
  • Colic (recurrent) of gallbladder
  • Gallstone (impacted) of:
    • cystic duct
    • gallbladder
  • unspecified or without cholecystitis
K80.3 Calculus of bile duct with cholangitis
Incl.:
Any condition listed in K80.5 with cholangitis
K80.4 Calculus of bile duct with cholecystitis
Incl.:
Any condition listed in K80.5 with cholecystitis (with cholangitis)
K80.5 Calculus of bile duct without cholangitis or cholecystitis
Incl.:
  • Choledocholithiasis
  • Gallstone (impacted) of:
    • bile duct NOS
    • common duct
    • hepatic duct
  • Hepatic:
    • cholelithiasis
    • colic (recurrent)
  • unspecified or without cholangitis or cholecystitis
K80.8 Other cholelithiasis

K81 Cholecystitis

Excl.:
with cholelithiasis (K80.-)
K81.0 Acute cholecystitis
Incl.:
  • Abscess of gallbladder
  • Angiocholecystitis
  • Cholecystitis:
    • emphysematous (acute)
    • gangrenous
    • suppurative
  • Empyema of gallbladder
  • Gangrene of gallbladder
  • without calculus
K81.1 Chronic cholecystitis
K81.8 Other cholecystitis
K81.9 Cholecystitis, unspecified

K82 Other diseases of gallbladder

Excl.:
nonvisualization of gallbladder (R93.2)
postcholecystectomy syndrome (K91.5)
K82.0 Obstruction of gallbladder
Incl.:
  • Occlusion
  • Stenosis
  • Stricture
  • of cystic duct or gallbladder without calculus
Excl.:
with cholelithiasis (K80.-)
K82.1 Hydrops of gallbladder
Incl.:
Mucocele of gallbladder
K82.2 Perforation of gallbladder
Incl.:
Rupture of cystic duct or gallbladder
K82.3 Fistula of gallbladder
Incl.:
  • Cholecystocolic
  • Cholecystoduodenal
  • fistula
K82.4 Cholesterolosis of gallbladder
Incl.:
Strawberry gallbladder
K82.8 Other specified diseases of gallbladder
Incl.:
  • Adhesions
  • Atrophy
  • Cyst
  • Dyskinesia
  • Hypertrophy
  • Nonfunctioning
  • Ulcer
  • of cystic duct or gallbladder
K82.9 Disease of gallbladder, unspecified

K83 Other diseases of biliary tract

Excl.:
the listed conditions involving the:
postcholecystectomy syndrome (K91.5)
K83.0 Cholangitis
Incl.:
Cholangitis:
  • NOS
  • ascending
  • primary
  • recurrent
  • sclerosing
  • secondary
  • stenosing
  • suppurative
Excl.:
cholangitic liver abscess (K75.0)
cholangitis with choledocholithiasis (K80.3-K80.4)
chronic nonsuppurative destructive cholangitis (K74.3)
K83.1 Obstruction of bile duct
Incl.:
  • Occlusion
  • Stenosis
  • Stricture
  • of bile duct without calculus
Excl.:
with cholelithiasis (K80.-)
K83.2 Perforation of bile duct
Incl.:
Rupture of bile duct
K83.3 Fistula of bile duct
Incl.:
Choledochoduodenal fistula
K83.4 Spasm of sphincter of Oddi
K83.5 Biliary cyst
K83.8 Other specified diseases of biliary tract
Incl.:
  • Adhesions
  • Atrophy
  • Hypertrophy
  • Ulcer
  • of bile duct
K83.9 Disease of biliary tract, unspecified

K85 Acute pancreatitis

Incl.:
Abscess of pancreas
Necrosis of pancreas:
  • acute
  • infective
Pancreatitis:
  • NOS
  • acute (recurrent)
  • haemorrhagic
  • subacute
  • suppurative
K85.0 Idiopathic acute pancreatitis
K85.1 Biliary acute pancreatitis
Incl.:
Gallstone pancreatitis
K85.2 Alcohol-induced acute pancreatitis
K85.3 Drug-induced acute pancreatitis
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug
K85.8 Other acute pancreatitis
K85.9 Acute pancreatitis, unspecified

K86 Other diseases of pancreas

Excl.:
fibrocystic disease of pancreas (E84.-)
islet cell tumour (of pancreas) (D13.7)
pancreatic steatorrhoea (K90.3)
K86.0 Alcohol-induced chronic pancreatitis
K86.1 Other chronic pancreatitis
Incl.:
Chronic pancreatitis:
  • NOS
  • infectious
  • recurrent
  • relapsing
K86.2 Cyst of pancreas
K86.3 Pseudocyst of pancreas
K86.8 Other specified diseases of pancreas
Incl.:
  • Atrophy
  • Calculus
  • Cirrhosis
  • Fibrosis
  • of pancreas
Pancreatic:
  • infantilism
  • necrosis:
    • NOS
    • aseptic
    • fat
K86.9 Disease of pancreas, unspecified

K87* Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere

K87.0* Disorders of gallbladder and biliary tract in diseases classified elsewhere
K87.1* Disorders of pancreas in diseases classified elsewhere
Incl.:
Cytomegaloviral pancreatitis (B25.2†)
Mumps pancreatitis (B26.3†)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XI
Diseases of the digestive system
(K00-K93)

K90 Intestinal malabsorption

Excl.:
following gastrointestinal surgery (K91.2)
K90.0 Coeliac disease
Incl.:
Gluten-sensitive enteropathy
Idiopathic steatorrhoea
Nontropical sprue
K90.1 Tropical sprue
Incl.:
Sprue NOS
Tropical steatorrhoea
K90.2 Blind loop syndrome, not elsewhere classified
Incl.:
Blind loop syndrome NOS
Excl.:
blind loop syndrome:
K90.3 Pancreatic steatorrhoea
K90.4 Malabsorption due to intolerance, not elsewhere classified
Incl.:
Malabsorption due to intolerance to:
  • carbohydrate
  • fat
  • protein
  • starch
Excl.:
gluten-sensitive enteropathy (K90.0)
lactose intolerance (E73.-)
K90.8 Other intestinal malabsorption
Incl.:
Whipple disease† (M14.8*)
K90.9 Intestinal malabsorption, unspecified

K91 Postprocedural disorders of digestive system, not elsewhere classified

Excl.:
gastrojejunal ulcer (K28.-)
radiation:
K91.0 Vomiting following gastrointestinal surgery
K91.1 Postgastric surgery syndromes
Incl.:
Syndrome:
  • dumping
  • postgastrectomy
  • postvagotomy
K91.2 Postsurgical malabsorption, not elsewhere classified
Incl.:
Postsurgical blind loop syndrome
Excl.:
malabsorption:
  • osteomalacia in adults (M83.2)
  • osteoporosis, postsurgical (M81.3)
K91.3 Postoperative intestinal obstruction
K91.4 Colostomy and enterostomy malfunction
K91.5 Postcholecystectomy syndrome
K91.8 Other postprocedural disorders of digestive system, not elsewhere classified
K91.9 Postprocedural disorder of digestive system, unspecified

K92 Other diseases of digestive system

Excl.:
neonatal gastrointestinal haemorrhage (P54.0-P54.3)
K92.0 Haematemesis
K92.1 Melaena
Excl.:
occult blood in faeces (R19.5)
K92.2 Gastrointestinal haemorrhage, unspecified
Incl.:
Haemorrhage:
  • gastric NOS
  • intestinal NOS
Excl.:
acute haemorrhagic gastritis (K29.0)
haemorrhage of anus and rectum (K62.5)
with peptic ulcer (K25-K28)
K92.8 Other specified diseases of digestive system
K92.9 Disease of digestive system, unspecified

K93* Disorders of other digestive organs in diseases classified elsewhere

K93.0* Tuberculous disorders of intestines, peritoneum and mesenteric glands (A18.3†)
Excl.:
tuberculous peritonitis (K67.3*)
K93.1* Megacolon in Chagas disease (B57.3†)
K93.8* Disorders of other specified digestive organs in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XII
Diseases of the skin and subcutaneous tissue
(L00-L99)

Infections of the skin and subcutaneous tissue
(L00-L08)

Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
Excl.:
hordeolum (H00.0)
infective dermatitis (L30.3)
local infections of skin classified in Chapter I, such as:
  • erysipelas (A46)
  • erysipeloid (A26.-)
  • herpesviral [herpes simplex] infection (B00.-)
  • herpesviral [herpes simplex] infection
  • molluscum contagiosum (B08.1)
  • mycoses (B35-B49)
  • pediculosis, acariasis and other infestations (B85-B89)
  • viral warts (B07)
panniculitis (of):
perlèche (due to):
pyogenic granuloma (L98.0)
zoster (B02.-)

L00 Staphylococcal scalded skin syndrome

Incl.:
Pemphigus neonatorum
Ritter disease
Excl.:
toxic epidermal necrolysis [Lyell] (L51.2)

L01 Impetigo

Excl.:
impetigo herpetiformis (L40.1)
pemphigus neonatorum (L00)
L01.0 Impetigo [any organism] [any site]
Incl.:
Bockhart impetigo
L01.1 Impetiginization of other dermatoses

L02 Cutaneous abscess, furuncle and carbuncle

Incl.:
boil
furunculosis
Excl.:
anal and rectal regions (K61.-)
genital organs (external):
L02.0 Cutaneous abscess, furuncle and carbuncle of face
Excl.:
ear, external (H60.0)
eyelid (H00.0)
head [any part, except face] (L02.8)
lacrimal:
mouth (K12.2)
nose (J34.0)
orbit (H05.0)
submandibular (K12.2)
L02.1 Cutaneous abscess, furuncle and carbuncle of neck
L02.2 Cutaneous abscess, furuncle and carbuncle of trunk
Incl.:
Abdominal wall
Back [any part, except buttock]
Chest wall
Groin
Perineum
Umbilicus
Excl.:
breast (N61)
hip (L02.4)
omphalitis of newborn (P38)
L02.3 Cutaneous abscess, furuncle and carbuncle of buttock
Incl.:
Gluteal region
Excl.:
pilonidal cyst with abscess (L05.0)
L02.4 Cutaneous abscess, furuncle and carbuncle of limb
Incl.:
Axilla
Hip
Shoulder
L02.8 Cutaneous abscess, furuncle and carbuncle of other sites
Incl.:
Head [any part, except face]
Scalp
L02.9 Cutaneous abscess, furuncle and carbuncle, unspecified
Incl.:
Furunculosis NOS

L03 Cellulitis

Incl.:
acute lymphangitis
Excl.:
cellulitis of:
eosinophilic cellulitis [Wells] (L98.3)
febrile neutrophilic dermatosis [Sweet] (L98.2)
lymphangitis (chronic)(subacute) (I89.1)
L03.0 Cellulitis of finger and toe
Incl.:
Infection of nail
Onychia
Paronychia
Perionychia
L03.1 Cellulitis of other parts of limb
Incl.:
Axilla
Hip
Shoulder
L03.2 Cellulitis of face
L03.3 Cellulitis of trunk
Incl.:
Abdominal wall
Back [any part]
Chest wall
Groin
Perineum
Umbilicus
Excl.:
omphalitis of newborn (P38)
L03.8 Cellulitis of other sites
Incl.:
Head [any part, except face]
Scalp
L03.9 Cellulitis, unspecified

L04 Acute lymphadenitis

Incl.:
  • abscess (acute)
  • lymphadenitis, acute
  • any lymph node, except mesenteric
Excl.:
enlarged lymph nodes (R59.-)
human immunodeficiency virus [HIV] disease resulting in generalized lymphadenopathy (B23.1)
lymphadenitis:
  • NOS (I88.9)
  • chronic or subacute, except mesenteric (I88.1)
  • mesenteric, nonspecific (I88.0)
L04.0 Acute lymphadenitis of face, head and neck
L04.1 Acute lymphadenitis of trunk
L04.2 Acute lymphadenitis of upper limb
Incl.:
Axilla
Shoulder
L04.3 Acute lymphadenitis of lower limb
Incl.:
Hip
L04.8 Acute lymphadenitis of other sites
L04.9 Acute lymphadenitis, unspecified

L05 Pilonidal cyst

Incl.:
  • fistula
  • sinus
  • coccygeal or pilonidal
L05.0 Pilonidal cyst with abscess
L05.9 Pilonidal cyst without abscess
Incl.:
Pilonidal cyst NOS

L08 Other local infections of skin and subcutaneous tissue

L08.0 Pyoderma
Incl.:
Dermatitis:
  • gangrenosa
  • purulent
  • septic
  • suppurative
Excl.:
pyoderma gangrenosum (L88)
L08.1 Erythrasma
L08.8 Other specified local infections of skin and subcutaneous tissue
L08.9 Local infection of skin and subcutaneous tissue, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XII
Diseases of the skin and subcutaneous tissue
(L00-L99)

Bullous disorders
(L10-L14)

Excl.:
benign familial pemphigus [Hailey-Hailey] (Q82.8)
staphylococcal scalded skin syndrome (L00)
toxic epidermal necrolysis [Lyell] (L51.2)

L10 Pemphigus

Excl.:
pemphigus neonatorum (L00)
L10.0 Pemphigus vulgaris
L10.1 Pemphigus vegetans
L10.2 Pemphigus foliaceus
L10.3 Brazilian pemphigus [fogo selvagem]
L10.4 Pemphigus erythematosus
Incl.:
Senear-Usher syndrome
L10.5 Drug-induced pemphigus
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
L10.8 Other pemphigus
L10.9 Pemphigus, unspecified

L11 Other acantholytic disorders

L11.0 Acquired keratosis follicularis
Excl.:
keratosis follicularis (congenital) [Darier-White] (Q82.8)
L11.1 Transient acantholytic dermatosis [Grover]
L11.8 Other specified acantholytic disorders
L11.9 Acantholytic disorder, unspecified

L12 Pemphigoid

Excl.:
herpes gestationis (O26.4)
impetigo herpetiformis (L40.1)
L12.0 Bullous pemphigoid
L12.1 Cicatricial pemphigoid
Incl.:
Benign mucous membrane pemphigoid
L12.2 Chronic bullous disease of childhood
Incl.:
Juvenile dermatitis herpetiformis
L12.3 Acquired epidermolysis bullosa
Excl.:
epidermolysis bullosa (congenital) (Q81.-)
L12.8 Other pemphigoid
L12.9 Pemphigoid, unspecified

L13 Other bullous disorders

L13.0 Dermatitis herpetiformis
Incl.:
Duhring disease
L13.1 Subcorneal pustular dermatitis
Incl.:
Sneddon-Wilkinson disease
L13.8 Other specified bullous disorders
L13.9 Bullous disorder, unspecified

L14* Bullous disorders in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XII
Diseases of the skin and subcutaneous tissue
(L00-L99)

Dermatitis and eczema
(L20-L30)

Note:

In this block the terms dermatitis and eczema are used synonymously and interchangeably.

Excl.:
chronic (childhood) granulomatous disease (D71)
dermatitis:
radiation-related disorders of the skin and subcutaneous tissue (L55-L59)

L20 Atopic dermatitis

Excl.:
circumscribed neurodermatitis (L28.0)
L20.0 Besnier prurigo
L20.8 Other atopic dermatitis
Incl.:
Eczema:
  • flexural NEC
  • infantile (acute)(chronic)
  • intrinsic (allergic)
Neurodermatitis:
  • atopic
  • diffuse
L20.9 Atopic dermatitis, unspecified

L21 Seborrhoeic dermatitis

Excl.:
infective dermatitis (L30.3)
L21.0 Seborrhoea capitis
Incl.:
Cradle cap
L21.1 Seborrhoeic infantile dermatitis
L21.8 Other seborrhoeic dermatitis
L21.9 Seborrhoeic dermatitis, unspecified

L22 Diaper [napkin] dermatitis

Incl.:
Diaper or napkin:
  • erythema
  • rash
Psoriasiform napkin rash

L23 Allergic contact dermatitis

Incl.:
allergic contact eczema
Excl.:
allergy NOS (T78.4)
dermatitis (of):
eczema of external ear (H60.5)
radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
L23.0 Allergic contact dermatitis due to metals
Incl.:
Chromium
Nickel
L23.1 Allergic contact dermatitis due to adhesives
L23.2 Allergic contact dermatitis due to cosmetics
L23.3 Allergic contact dermatitis due to drugs in contact with skin
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
Excl.:
allergic reaction NOS due to drugs (T88.7)
dermatitis due to ingested drugs and medicaments (L27.0-L27.1)
L23.4 Allergic contact dermatitis due to dyes
L23.5 Allergic contact dermatitis due to other chemical products
Incl.:
Cement
Insecticide
Plastic
Rubber
L23.6 Allergic contact dermatitis due to food in contact with skin
Excl.:
dermatitis due to ingested food (L27.2)
L23.7 Allergic contact dermatitis due to plants, except food
L23.8 Allergic contact dermatitis due to other agents
L23.9 Allergic contact dermatitis, unspecified cause
Incl.:
Allergic contact eczema NOS

L24 Irritant contact dermatitis

Incl.:
irritant contact eczema
Excl.:
allergy NOS (T78.4)
dermatitis (of):
eczema of external ear (H60.5)
radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
L24.0 Irritant contact dermatitis due to detergents
L24.1 Irritant contact dermatitis due to oils and greases
L24.2 Irritant contact dermatitis due to solvents
Incl.:
Solvents:
  • chlorocompound
  • cyclohexane
  • ester
  • glycol
  • hydrocarbon
  • ketone
L24.3 Irritant contact dermatitis due to cosmetics
L24.4 Irritant contact dermatitis due to drugs in contact with skin
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
Excl.:
allergic reaction NOS due to drugs (T88.7)
dermatitis due to ingested drugs and medicaments (L27.0-L27.1)
L24.5 Irritant contact dermatitis due to other chemical products
Incl.:
Cement
Insecticide
L24.6 Irritant contact dermatitis due to food in contact with skin
Excl.:
dermatitis due to ingested food (L27.2)
L24.7 Irritant contact dermatitis due to plants, except food
L24.8 Irritant contact dermatitis due to other agents
Incl.:
Dyes
L24.9 Irritant contact dermatitis, unspecified cause
Incl.:
Irritant contact eczema NOS

L25 Unspecified contact dermatitis

Incl.:
unspecified contact eczema
Excl.:
allergy NOS (T78.4)
dermatitis (of):
eczema of external ear (H60.5)
radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
L25.0 Unspecified contact dermatitis due to cosmetics
L25.1 Unspecified contact dermatitis due to drugs in contact with skin
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
Excl.:
allergic reaction NOS due to drugs (T88.7)
dermatitis due to ingested drugs and medicaments (L27.0-L27.1)
L25.2 Unspecified contact dermatitis due to dyes
L25.3 Unspecified contact dermatitis due to other chemical products
Incl.:
Cement
Insecticide
L25.4 Unspecified contact dermatitis due to food in contact with skin
Excl.:
dermatitis due to ingested food (L27.2)
L25.5 Unspecified contact dermatitis due to plants, except food
L25.8 Unspecified contact dermatitis due to other agents
L25.9 Unspecified contact dermatitis, unspecified cause
Incl.:
Contact:
  • dermatitis (occupational) NOS
  • eczema (occupational) NOS

L26 Exfoliative dermatitis

Incl.:
Hebra pityriasis
Excl.:
Ritter disease (L00)

L27 Dermatitis due to substances taken internally

Excl.:
adverse:
allergy NOS (T78.4)
contact dermatitis (L23-L25)
drug:
  • photoallergic response (L56.1)
  • phototoxic response (L56.0)
urticaria (L50.-)
L27.0 Generalized skin eruption due to drugs and medicaments
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
L27.1 Localized skin eruption due to drugs and medicaments
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
L27.2 Dermatitis due to ingested food
Excl.:
dermatitis due to food in contact with skin (L23.6, L24.6, L25.4)
L27.8 Dermatitis due to other substances taken internally
L27.9 Dermatitis due to unspecified substance taken internally

L28 Lichen simplex chronicus and prurigo

L28.0 Lichen simplex chronicus
Incl.:
Circumscribed neurodermatitis
Lichen NOS
L28.1 Prurigo nodularis
L28.2 Other prurigo
Incl.:
Prurigo:
  • NOS
  • Hebra
  • mitis
Urticaria papulosa

L29 Pruritus

Excl.:
neurotic excoriation (L98.1)
psychogenic pruritus (F45.8)
L29.0 Pruritus ani
L29.1 Pruritus scroti
L29.2 Pruritus vulvae
L29.3 Anogenital pruritus, unspecified
L29.8 Other pruritus
L29.9 Pruritus, unspecified
Incl.:
Itch NOS

L30 Other dermatitis

Excl.:
dermatitis:
small plaque parapsoriasis (L41.3)
stasis dermatitis (I83.1-I83.2)
L30.0 Nummular dermatitis
L30.1 Dyshidrosis [pompholyx]
L30.2 Cutaneous autosensitization
Incl.:
Candidid [levurid]
Dermatophytid
Eczematid
L30.3 Infective dermatitis
Incl.:
Infectious eczematoid dermatitis
L30.4 Erythema intertrigo
L30.5 Pityriasis alba
L30.8 Other specified dermatitis
L30.9 Dermatitis, unspecified
Incl.:
Eczema NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XII
Diseases of the skin and subcutaneous tissue
(L00-L99)

L40 Psoriasis

L40.0 Psoriasis vulgaris
Incl.:
Nummular psoriasis
Plaque psoriasis
L40.1 Generalized pustular psoriasis
Incl.:
Impetigo herpetiformis
Von Zumbusch disease
L40.2 Acrodermatitis continua
L40.3 Pustulosis palmaris et plantaris
L40.4 Guttate psoriasis
L40.5† Arthropathic psoriasis (M07.0-M07.3*, M09.0*)
L40.8 Other psoriasis
Incl.:
Flexural psoriasis
L40.9 Psoriasis, unspecified

L41 Parapsoriasis

Excl.:
poikiloderma vasculare atrophicans (L94.5)
L41.0 Pityriasis lichenoides et varioliformis acuta
Incl.:
Mucha-Habermann disease
L41.1 Pityriasis lichenoides chronica
L41.3 Small plaque parapsoriasis
L41.4 Large plaque parapsoriasis
L41.5 Retiform parapsoriasis
L41.8 Other parapsoriasis
L41.9 Parapsoriasis, unspecified

L42 Pityriasis rosea

L43 Lichen planus

Excl.:
lichen planopilaris (L66.1)
L43.0 Hypertrophic lichen planus
L43.1 Bullous lichen planus
L43.2 Lichenoid drug reaction
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
L43.3 Subacute (active) lichen planus
Incl.:
Lichen planus tropicus
L43.8 Other lichen planus
L43.9 Lichen planus, unspecified

L44 Other papulosquamous disorders

L44.0 Pityriasis rubra pilaris
L44.1 Lichen nitidus
L44.2 Lichen striatus
L44.3 Lichen ruber moniliformis
L44.4 Infantile papular acrodermatitis [Giannotti-Crosti]
L44.8 Other specified papulosquamous disorders
L44.9 Papulosquamous disorder, unspecified

L45* Papulosquamous disorders in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XII
Diseases of the skin and subcutaneous tissue
(L00-L99)

Urticaria and erythema
(L50-L54)

Excl.:
Lyme disease (A69.2)
rosacea (L71.-)

L50 Urticaria

Excl.:
allergic contact dermatitis (L23.-)
angioneurotic oedema (T78.3)
hereditary angio-oedema (D84.1)
Quincke oedema (T78.3)
urticaria:
L50.0 Allergic urticaria
L50.1 Idiopathic urticaria
L50.2 Urticaria due to cold and heat
L50.3 Dermatographic urticaria
L50.4 Vibratory urticaria
L50.5 Cholinergic urticaria
L50.6 Contact urticaria
L50.8 Other urticaria
Incl.:
Urticaria:
  • chronic
  • recurrent periodic
L50.9 Urticaria, unspecified

L51 Erythema multiforme

L51.0 Nonbullous erythema multiforme
L51.1 Bullous erythema multiforme
Incl.:
Stevens-Johnson syndrome
L51.2 Toxic epidermal necrolysis [Lyell]
L51.8 Other erythema multiforme
L51.9 Erythema multiforme, unspecified

L52 Erythema nodosum

L53 Other erythematous conditions

Excl.:
erythema:
  • ab igne (L59.0)
  • due to external agents in contact with skin (L23-L25)
  • intertrigo (L30.4)
L53.0 Toxic erythema
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify external agent.
Excl.:
neonatal erythema toxicum (P83.1)
L53.1 Erythema annulare centrifugum
L53.2 Erythema marginatum
L53.3 Other chronic figurate erythema
L53.8 Other specified erythematous conditions
L53.9 Erythematous condition, unspecified
Incl.:
Erythema NOS
Erythroderma NOS

L54* Erythema in diseases classified elsewhere

L54.0* Erythema marginatum in acute rheumatic fever (I00†)
L54.8* Erythema in other diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XII
Diseases of the skin and subcutaneous tissue
(L00-L99)

L55 Sunburn

L55.0 Sunburn of first degree
L55.1 Sunburn of second degree
L55.2 Sunburn of third degree
L55.8 Other sunburn
L55.9 Sunburn, unspecified

L56 Other acute skin changes due to ultraviolet radiation

L56.0 Drug phototoxic response
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
L56.1 Drug photoallergic response
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
L56.2 Photocontact dermatitis [berloque dermatitis]
L56.3 Solar urticaria
L56.4 Polymorphous light eruption
L56.8 Other specified acute skin changes due to ultraviolet radiation
L56.9 Acute skin change due to ultraviolet radiation, unspecified

L57 Skin changes due to chronic exposure to nonionizing radiation

L57.0 Actinic keratosis
Incl.:
Keratosis:
  • NOS
  • senile
  • solar
L57.1 Actinic reticuloid
L57.2 Cutis rhomboidalis nuchae
L57.3 Poikiloderma of Civatte
L57.4 Cutis laxa senilis
Incl.:
Elastosis senilis
L57.5 Actinic granuloma
L57.8 Other skin changes due to chronic exposure to nonionizing radiation
Incl.:
Farmer skin
Sailor skin
Solar dermatitis
L57.9 Skin changes due to chronic exposure to nonionizing radiation, unspecified

L58 Radiodermatitis

L58.0 Acute radiodermatitis
L58.1 Chronic radiodermatitis
L58.9 Radiodermatitis, unspecified

L59 Other disorders of skin and subcutaneous tissue related to radiation

L59.0 Erythema ab igne [dermatitis ab igne]
L59.8 Other specified disorders of skin and subcutaneous tissue related to radiation
L59.9 Disorder of skin and subcutaneous tissue related to radiation, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XII
Diseases of the skin and subcutaneous tissue
(L00-L99)

Disorders of skin appendages
(L60-L75)

Excl.:
congenital malformations of integument (Q84.-)

L60 Nail disorders

Excl.:
clubbing of nails (R68.3)
onychia and paronychia (L03.0)
L60.0 Ingrowing nail
L60.1 Onycholysis
L60.2 Onychogryphosis
L60.3 Nail dystrophy
L60.4 Beau lines
L60.5 Yellow nail syndrome
L60.8 Other nail disorders
L60.9 Nail disorder, unspecified

L62* Nail disorders in diseases classified elsewhere

L62.0* Clubbed nail pachydermoperiostosis (M89.4†)
L62.8* Nail disorders in other diseases classified elsewhere

L63 Alopecia areata

L63.0 Alopecia (capitis) totalis
L63.1 Alopecia universalis
L63.2 Ophiasis
L63.8 Other alopecia areata
L63.9 Alopecia areata, unspecified

L64 Androgenic alopecia

Incl.:
male-pattern baldness
L64.0 Drug-induced androgenic alopecia
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
L64.8 Other androgenic alopecia
L64.9 Androgenic alopecia, unspecified

L65 Other nonscarring hair loss

Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
Excl.:
trichotillomania (F63.3)
L65.0 Telogen effluvium
L65.1 Anagen effluvium
L65.2 Alopecia mucinosa
L65.8 Other specified nonscarring hair loss
L65.9 Nonscarring hair loss, unspecified
Incl.:
Alopecia NOS

L66 Cicatricial alopecia [scarring hair loss]

L66.0 Pseudopelade
L66.1 Lichen planopilaris
Incl.:
Follicular lichen planus
L66.2 Folliculitis decalvans
L66.3 Perifolliculitis capitis abscedens
L66.4 Folliculitis ulerythematosa reticulata
L66.8 Other cicatricial alopecia
L66.9 Cicatricial alopecia, unspecified

L67 Hair colour and hair shaft abnormalities

Excl.:
monilethrix (Q84.1)
pili annulati (Q84.1)
telogen effluvium (L65.0)
L67.0 Trichorrhexis nodosa
L67.1 Variations in hair colour
Incl.:
Canities
Greyness, hair (premature)
Heterochromia of hair
Poliosis:
  • NOS
  • circumscripta, acquired
L67.8 Other hair colour and hair shaft abnormalities
Incl.:
Fragilitas crinium
L67.9 Hair colour and hair shaft abnormality, unspecified

L68 Hypertrichosis

Incl.:
excess hair
Excl.:
congenital hypertrichosis (Q84.2)
persistent lanugo (Q84.2)
L68.0 Hirsutism
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
L68.1 Acquired hypertrichosis lanuginosa
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
L68.2 Localized hypertrichosis
L68.3 Polytrichia
L68.8 Other hypertrichosis
L68.9 Hypertrichosis, unspecified

L70 Acne

Excl.:
acne keloid (L73.0)
L70.0 Acne vulgaris
L70.1 Acne conglobata
L70.2 Acne varioliformis
Incl.:
Acne necrotica miliaris
L70.3 Acne tropica
L70.4 Infantile acne
L70.5 Acné excoriée
Incl.:
Acné excoriée des jeunes filles
L70.8 Other acne
L70.9 Acne, unspecified

L71 Rosacea

L71.0 Perioral dermatitis
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
L71.1 Rhinophyma
L71.8 Other rosacea
L71.9 Rosacea, unspecified

L72 Follicular cysts of skin and subcutaneous tissue

L72.0 Epidermal cyst
L72.1 Trichilemmal cyst
Incl.:
Pilar cyst
Sebaceous cyst
L72.2 Steatocystoma multiplex
L72.8 Other follicular cysts of skin and subcutaneous tissue
L72.9 Follicular cyst of skin and subcutaneous tissue, unspecified

L73 Other follicular disorders

L73.0 Acne keloid
L73.1 Pseudofolliculitis barbae
L73.2 Hidradenitis suppurativa
L73.8 Other specified follicular disorders
Incl.:
Sycosis barbae
L73.9 Follicular disorder, unspecified

L74 Eccrine sweat disorders

Excl.:
hyperhidrosis (R61.-)
L74.0 Miliaria rubra
L74.1 Miliaria crystallina
L74.2 Miliaria profunda
Incl.:
Miliaria tropicalis
L74.3 Miliaria, unspecified
L74.4 Anhidrosis
Incl.:
Hypohidrosis
L74.8 Other eccrine sweat disorders
L74.9 Eccrine sweat disorder, unspecified
Incl.:
Sweat gland disorder NOS

L75 Apocrine sweat disorders

Excl.:
dyshidrosis [pompholyx] (L30.1)
hidradenitis suppurativa (L73.2)
L75.0 Bromhidrosis
L75.1 Chromhidrosis
L75.2 Apocrine miliaria
Incl.:
Fox-Fordyce disease
L75.8 Other apocrine sweat disorders
L75.9 Apocrine sweat disorder, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XII
Diseases of the skin and subcutaneous tissue
(L00-L99)

L80 Vitiligo

L81 Other disorders of pigmentation

Excl.:
birthmark NOS (Q82.5)
naevus - see Alphabetical Index
Peutz-Jeghers syndrome (Q85.8)
L81.0 Postinflammatory hyperpigmentation
L81.1 Chloasma
L81.2 Freckles
L81.3 Café au lait spots
L81.4 Other melanin hyperpigmentation
Incl.:
Lentigo
L81.5 Leukoderma, not elsewhere classified
L81.6 Other disorders of diminished melanin formation
L81.7 Pigmented purpuric dermatosis
Incl.:
Angioma serpiginosum
L81.8 Other specified disorders of pigmentation
Incl.:
Iron pigmentation
Tattoo pigmentation
L81.9 Disorder of pigmentation, unspecified

L82 Seborrhoeic keratosis

Incl.:
basal cell papilloma
dermatosis papulosa nigra
Leser-Trélat disease

L83 Acanthosis nigricans

Incl.:
Confluent and reticulated papillomatosis

L84 Corns and callosities

Incl.:
Callus
Clavus

L85 Other epidermal thickening

Excl.:
hypertrophic disorders of skin (L91.-)
L85.0 Acquired ichthyosis
Excl.:
congenital ichthyosis (Q80.-)
L85.1 Acquired keratosis [keratoderma] palmaris et plantaris
Excl.:
inherited keratosis palmaris et plantaris (Q82.8)
L85.2 Keratosis punctata (palmaris et plantaris)
L85.3 Xerosis cutis
Incl.:
Dry skin dermatitis
L85.8 Other specified epidermal thickening
Incl.:
Cutaneous horn
L85.9 Epidermal thickening, unspecified

L86* Keratoderma in diseases classified elsewhere

Incl.:
  • Follicular keratosis
  • Xeroderma
  • due to a vitamin A deficiency (E50.8†)

L87 Transepidermal elimination disorders

Excl.:
granuloma annulare (perforating) (L92.0)
L87.0 Keratosis follicularis et parafollicularis in cutem penetrans [Kyrle]
Incl.:
Hyperkeratosis follicularis penetrans
L87.1 Reactive perforating collagenosis
L87.2 Elastosis perforans serpiginosa
L87.8 Other transepidermal elimination disorders
L87.9 Transepidermal elimination disorder, unspecified

L88 Pyoderma gangrenosum

Incl.:
Phagedenic pyoderma
Excl.:
dermatitis gangrenosa (L08.0)

L89 Decubitus ulcer and pressure area

Note:
For multiple sites of differing stages assign only one code indicating the highest stage
Incl.:
Bedsore
Plaster ulcer
Excl.:
decubitus (trophic) ulcer of cervix (uteri) (N86)
L89.0 Stage I decubitus ulcer and pressure area
Definition
The ulcer appears as a defined area of persistent redness (erythema) in lightly pigmented skin, whereas in darker skin tones, the ulcer may appear with persistent red, blue or purple hues, without skin loss
Incl.:
Decubitus [pressure] ulcer limited to erythema only
L89.1 Stage II decubitus ulcer
Incl.:
Decubitus [pressure] ulcer with:
  • abrasion
  • blister
  • partial thickness skin loss involving epidermis and/or dermis
  • skin loss NOS
L89.2 Stage III decubitus ulcer
Definition
Decubitus [pressure] ulcer with full thickness skin loss involving damage or necrosis of subcutaneous tissue extending to underlying fascia
L89.3 Stage IV decubitus ulcer
Definition
Decubitus [pressure] ulcer with necrosis of muscle, bone or supporting structures (ie tendon or joint capsule)
L89.9 Decubitus ulcer and pressure area, unspecified
Incl.:
Decubitus [pressure] ulcer without mention of stage

L90 Atrophic disorders of skin

L90.0 Lichen sclerosus et atrophicus
Excl.:
lichen sclerosus of external genital organs:
L90.1 Anetoderma of Schweninger-Buzzi
L90.2 Anetoderma of Jadassohn-Pellizzari
L90.3 Atrophoderma of Pasini and Pierini
L90.4 Acrodermatitis chronica atrophicans
L90.5 Scar conditions and fibrosis of skin
Incl.:
Adherent scar (skin)
Cicatrix
Disfigurement due to scar
Scar NOS
Excl.:
hypertrophic scar (L91.0)
keloid scar (L91.0)
L90.6 Striae atrophicae
L90.8 Other atrophic disorders of skin
L90.9 Atrophic disorder of skin, unspecified

L91 Hypertrophic disorders of skin

L91.0 Hypertrophic scar
Incl.:
Keloid scar
Keloid
Excl.:
acne keloid (L73.0)
scar NOS (L90.5)
L91.8 Other hypertrophic disorders of skin
L91.9 Hypertrophic disorder of skin, unspecified

L92 Granulomatous disorders of skin and subcutaneous tissue

Excl.:
actinic granuloma (L57.5)
L92.0 Granuloma annulare
Incl.:
Perforating granuloma annulare
L92.1 Necrobiosis lipoidica, not elsewhere classified
Excl.:
that associated with diabetes mellitus (E10-E14)
L92.2 Granuloma faciale [eosinophilic granuloma of skin]
L92.3 Foreign body granuloma of skin and subcutaneous tissue
L92.8 Other granulomatous disorders of skin and subcutaneous tissue
L92.9 Granulomatous disorder of skin and subcutaneous tissue, unspecified

L93 Lupus erythematosus

Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
Excl.:
lupus:
scleroderma (M34.-)
systemic lupus erythematosus (M32.-)
L93.0 Discoid lupus erythematosus
Incl.:
Lupus erythematosus NOS
L93.1 Subacute cutaneous lupus erythematosus
L93.2 Other local lupus erythematosus
Incl.:
Lupus:
  • erythematosus profundus
  • panniculitis

L94 Other localized connective tissue disorders

Excl.:
systemic connective tissue disorders (M30-M36)
L94.0 Localized scleroderma [morphea]
Incl.:
Circumscribed scleroderma
L94.1 Linear scleroderma
Incl.:
En coup de sabre lesion
L94.2 Calcinosis cutis
L94.3 Sclerodactyly
L94.4 Gottron papules
L94.5 Poikiloderma vasculare atrophicans
L94.6 Ainhum
L94.8 Other specified localized connective tissue disorders
L94.9 Localized connective tissue disorder, unspecified

L95 Vasculitis limited to skin, not elsewhere classified

Excl.:
angioma serpiginosum (L81.7)
Henoch(-Schönlein) purpura (D69.0)
hypersensitivity angiitis (M31.0)
panniculitis (of):
polyarteritis nodosa (M30.0)
rheumatoid vasculitis (M05.2)
serum sickness (T80.6)
urticaria (L50.-)
Wegener granulomatosis (M31.3)
L95.0 Livedoid vasculitis
Incl.:
Atrophie blanche (en plaque)
L95.1 Erythema elevatum diutinum
L95.8 Other vasculitis limited to skin
L95.9 Vasculitis limited to skin, unspecified

L97 Ulcer of lower limb, not elsewhere classified

Excl.:
decubitus [pressure] ulcer and pressure area (L89.-)
gangrene (R02)
skin infections (L00-L08)
specific infections classified to A00-B99
varicose ulcer (I83.0, I83.2)

L98 Other disorders of skin and subcutaneous tissue, not elsewhere classified

L98.0 Pyogenic granuloma
L98.1 Factitial dermatitis
Incl.:
Neurotic excoriation
L98.2 Febrile neutrophilic dermatosis [Sweet]
L98.3 Eosinophilic cellulitis [Wells]
L98.4 Chronic ulcer of skin, not elsewhere classified
Incl.:
Chronic ulcer of skin NOS
Tropical ulcer NOS
Ulcer of skin NOS
Excl.:
decubitus [pressure] ulcer and pressure area (L89.-)
gangrene (R02)
skin infections (L00-L08)
specific infections classified to A00-B99
ulcer of lower limb NEC (L97)
varicose ulcer (I83.0, I83.2)
L98.5 Mucinosis of skin
Incl.:
Focal mucinosis
Lichen myxoedematosus
Reticular erythematous mucinosis
Excl.:
focal oral mucinosis (K13.7)
myxoedema (E03.9)
L98.6 Other infiltrative disorders of skin and subcutaneous tissue
Excl.:
hyalinosis cutis et mucosae (E78.8)
L98.7 Excessive and redundant skin and subcutaneous tissue
Incl.:
Loose or sagging skin:
  • NOS
  • following weight loss (bariatric surgery)(dietary)
Excl.:
excess or redundant skin of eyelid:
skin changes due to chronic exposure to nonionizing radiation (L57.-)
L98.8 Other specified disorders of skin and subcutaneous tissue
L98.9 Disorder of skin and subcutaneous tissue, unspecified

L99* Other disorders of skin and subcutaneous tissue in diseases classified elsewhere

L99.0* Amyloidosis of skin (E85.-†)
Incl.:
Lichen amyloidosis
Macular amyloid
L99.8* Other specified disorders of skin and subcutaneous tissue in diseases classified elsewhere
Incl.:
Syphilitic:

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

Arthropathies
(M00-M25)

Incl.:
Disorders affecting predominantly peripheral (limb) joints

Infectious arthropathies
(M00-M03)

Note:

This block comprises arthropathies due to microbiological agents.

Distinction is made between the following types of etiological relationship:

  1. direct infection of joint, where organisms invade synovial tissue and microbial antigen is present in the joint;

  2. indirect infection, which may be of two types: a reactive arthropathy, where microbial infection of the body is established but neither organisms nor antigens can be identified in the joint, and a postinfective arthropathy, where microbial antigen is present but recovery of an organism is inconstant and evidence of local multiplication is lacking.

M00 Pyogenic arthritis

Excl.:
infection and inflammatory reaction due to internal joint prosthesis (T84.5)
M00.0 Staphylococcal arthritis and polyarthritis
M00.1 Pneumococcal arthritis and polyarthritis
M00.2 Other streptococcal arthritis and polyarthritis
M00.8 Arthritis and polyarthritis due to other specified bacterial agents
Coding-Hint
Use additional code (B95-B96), if desired, to identify bacterial agent.
M00.9 Pyogenic arthritis, unspecified
Incl.:
Infective arthritis NOS

M01* Direct infections of joint in infectious and parasitic diseases classified elsewhere

Excl.:
arthropathy in sarcoidosis (M14.8*)
postinfective and reactive arthropathy (M03.-*)
M01.0* Meningococcal arthritis (A39.8†)
Excl.:
postmeningococcal arthritis (M03.0*)
M01.1* Tuberculous arthritis (A18.0†)
Excl.:
of spine (M49.0*)
M01.2* Arthritis in Lyme disease (A69.2†)
M01.3* Arthritis in other bacterial diseases classified elsewhere
Incl.:
Arthritis in:
Gonococcal arthritis (A54.4†)
M01.4* Rubella arthritis (B06.8†)
M01.5* Arthritis in other viral diseases classified elsewhere
Incl.:
Arthritis in:
M01.6* Arthritis in mycoses (B35-B49†)
M01.8* Arthritis in other infectious and parasitic diseases classified elsewhere

M02 Reactive arthropathies

Excl.:
Behçet disease (M35.2)
rheumatic fever (I00)
M02.0 Arthropathy following intestinal bypass
M02.1 Postdysenteric arthropathy
M02.2 Postimmunization arthropathy
M02.3 Reiter disease
M02.8 Other reactive arthropathies
M02.9 Reactive arthropathy, unspecified

M03* Postinfective and reactive arthropathies in diseases classified elsewhere

Excl.:
direct infections of joint in infectious and parasitic diseases classified elsewhere (M01.-*)
M03.0* Postmeningococcal arthritis (A39.8†)
Excl.:
meningococcal arthritis (M01.0*)
M03.1* Postinfective arthropathy in syphilis
Incl.:
Clutton joints (A50.5†)
Excl.:
Charcot or tabetic arthropathy (M14.6*)
M03.2* Other postinfectious arthropathies in diseases classified elsewhere
Incl.:
Postinfectious arthropathy in:
Excl.:
viral arthropathies (M01.4-M01.5*)
M03.6* Reactive arthropathy in other diseases classified elsewhere
Incl.:
Arthropathy in infective endocarditis (I33.0†)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

Arthropathies
(M00-M25)

Incl.:
Disorders affecting predominantly peripheral (limb) joints

Infectious arthropathies
(M00-M03)

Note:

This block comprises arthropathies due to microbiological agents.

Distinction is made between the following types of etiological relationship:

  1. direct infection of joint, where organisms invade synovial tissue and microbial antigen is present in the joint;

  2. indirect infection, which may be of two types: a reactive arthropathy, where microbial infection of the body is established but neither organisms nor antigens can be identified in the joint, and a postinfective arthropathy, where microbial antigen is present but recovery of an organism is inconstant and evidence of local multiplication is lacking.

M00 Pyogenic arthritis

Excl.:
infection and inflammatory reaction due to internal joint prosthesis (T84.5)
M00.0 Staphylococcal arthritis and polyarthritis
M00.1 Pneumococcal arthritis and polyarthritis
M00.2 Other streptococcal arthritis and polyarthritis
M00.8 Arthritis and polyarthritis due to other specified bacterial agents
Coding-Hint
Use additional code (B95-B96), if desired, to identify bacterial agent.
M00.9 Pyogenic arthritis, unspecified
Incl.:
Infective arthritis NOS

M01* Direct infections of joint in infectious and parasitic diseases classified elsewhere

Excl.:
arthropathy in sarcoidosis (M14.8*)
postinfective and reactive arthropathy (M03.-*)
M01.0* Meningococcal arthritis (A39.8†)
Excl.:
postmeningococcal arthritis (M03.0*)
M01.1* Tuberculous arthritis (A18.0†)
Excl.:
of spine (M49.0*)
M01.2* Arthritis in Lyme disease (A69.2†)
M01.3* Arthritis in other bacterial diseases classified elsewhere
Incl.:
Arthritis in:
Gonococcal arthritis (A54.4†)
M01.4* Rubella arthritis (B06.8†)
M01.5* Arthritis in other viral diseases classified elsewhere
Incl.:
Arthritis in:
M01.6* Arthritis in mycoses (B35-B49†)
M01.8* Arthritis in other infectious and parasitic diseases classified elsewhere

M02 Reactive arthropathies

Excl.:
Behçet disease (M35.2)
rheumatic fever (I00)
M02.0 Arthropathy following intestinal bypass
M02.1 Postdysenteric arthropathy
M02.2 Postimmunization arthropathy
M02.3 Reiter disease
M02.8 Other reactive arthropathies
M02.9 Reactive arthropathy, unspecified

M03* Postinfective and reactive arthropathies in diseases classified elsewhere

Excl.:
direct infections of joint in infectious and parasitic diseases classified elsewhere (M01.-*)
M03.0* Postmeningococcal arthritis (A39.8†)
Excl.:
meningococcal arthritis (M01.0*)
M03.1* Postinfective arthropathy in syphilis
Incl.:
Clutton joints (A50.5†)
Excl.:
Charcot or tabetic arthropathy (M14.6*)
M03.2* Other postinfectious arthropathies in diseases classified elsewhere
Incl.:
Postinfectious arthropathy in:
Excl.:
viral arthropathies (M01.4-M01.5*)
M03.6* Reactive arthropathy in other diseases classified elsewhere
Incl.:
Arthropathy in infective endocarditis (I33.0†)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

Arthropathies
(M00-M25)

Incl.:
Disorders affecting predominantly peripheral (limb) joints

M05 Seropositive rheumatoid arthritis

Excl.:
rheumatic fever (I00)
rheumatoid arthritis (of):
M05.0 Felty syndrome
Incl.:
Rheumatoid arthritis with splenoadenomegaly and leukopenia
M05.1† Rheumatoid lung disease (J99.0*)
M05.2 Rheumatoid vasculitis
M05.3† Rheumatoid arthritis with involvement of other organs and systems
Incl.:
Rheumatoid:
M05.8 Other seropositive rheumatoid arthritis
M05.9 Seropositive rheumatoid arthritis, unspecified

M06 Other rheumatoid arthritis

M06.0 Seronegative rheumatoid arthritis
M06.1 Adult-onset Still disease
Excl.:
Still disease NOS (M08.2)
M06.2 Rheumatoid bursitis
M06.3 Rheumatoid nodule
M06.4 Inflammatory polyarthropathy
Excl.:
polyarthritis NOS (M13.0)
M06.8 Other specified rheumatoid arthritis
M06.9 Rheumatoid arthritis, unspecified

M07* Psoriatic and enteropathic arthropathies

Excl.:
juvenile psoriatic and enteropathic arthropathies (M09.-*)
M07.0* Distal interphalangeal psoriatic arthropathy (L40.5†)
M07.1* Arthritis mutilans (L40.5†)
M07.2* Psoriatic spondylitis (L40.5†)
M07.3* Other psoriatic arthropathies (L40.5†)
M07.4* Arthropathy in Crohn disease [regional enteritis] (K50.-†)
M07.5* Arthropathy in ulcerative colitis (K51.-†)
M07.6* Other enteropathic arthropathies

M08 Juvenile arthritis

Incl.:
arthritis in children, with onset before 16th birthday and lasting longer than 3 months
Excl.:
Felty syndrome (M05.0)
juvenile dermatomyositis (M33.0)
M08.0 Juvenile rheumatoid arthritis
Incl.:
Juvenile rheumatoid arthritis with or without rheumatoid factor
M08.1 Juvenile ankylosing spondylitis
Excl.:
ankylosing spondylitis in adults (M45)
M08.2 Juvenile arthritis with systemic onset
Incl.:
Still disease NOS
Excl.:
adult-onset Still disease (M06.1)
M08.3 Juvenile polyarthritis (seronegative)
Incl.:
Chronic juvenile polyarthritis
M08.4 Pauciarticular juvenile arthritis
M08.8 Other juvenile arthritis
M08.9 Juvenile arthritis, unspecified

M09* Juvenile arthritis in diseases classified elsewhere

Excl.:
arthropathy in Whipple disease (M14.8*)
M09.0* Juvenile arthritis in psoriasis (L40.5†)
M09.1* Juvenile arthritis in Crohn disease [regional enteritis] (K50.-†)
M09.2* Juvenile arthritis in ulcerative colitis (K51.-†)
M09.8* Juvenile arthritis in other diseases classified elsewhere
M10.0 Idiopathic gout
Incl.:
Gouty bursitis
Primary gout
Urate tophus of heart† (I43.8*)
M10.1 Lead-induced gout
M10.2 Drug-induced gout
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
M10.3 Gout due to impairment of renal function
Coding-Hint
Use additional code, if desired, to identify impairment of kidney disease (N17-N19)
M10.4 Other secondary gout
M10.9 Gout, unspecified

M11 Other crystal arthropathies

M11.0 Hydroxyapatite deposition disease
M11.1 Familial chondrocalcinosis
M11.2 Other chondrocalcinosis
Incl.:
Chondrocalcinosis NOS
M11.8 Other specified crystal arthropathies
M11.9 Crystal arthropathy, unspecified

M12 Other specific arthropathies

Excl.:
arthropathy NOS (M13.9)
arthrosis (M15-M19)
cricoarytenoid arthropathy (J38.7)
M12.0 Chronic postrheumatic arthropathy [Jaccoud]
M12.1 Kaschin-Beck disease
M12.2 Villonodular synovitis (pigmented)
M12.3 Palindromic rheumatism
M12.4 Intermittent hydrarthrosis
M12.5 Traumatic arthropathy
Excl.:
post-traumatic arthrosis (of):
M12.8 Other specific arthropathies, not elsewhere classified
Incl.:
Transient arthropathy

M13 Other arthritis

Excl.:
arthrosis (M15-M19)
M13.0 Polyarthritis, unspecified
M13.1 Monoarthritis, not elsewhere classified
M13.8 Other specified arthritis
Incl.:
Allergic arthritis
M13.9 Arthritis, unspecified
Incl.:
Arthropathy NOS

M14* Arthropathies in other diseases classified elsewhere

Excl.:
arthropathy in:
neuropathic spondylopathy (M49.4*)
psoriatic and enteropathic arthropathies (M07.-*)
psoriatic and enteropathic arthropathies
M14.0* Gouty arthropathy due to enzyme defects and other inherited disorders
Incl.:
Gouty arthropathy in:
M14.1* Crystal arthropathy in other metabolic disorders
Incl.:
Crystal arthropathy in hyperparathyroidism (E21.-†)
M14.2* Diabetic arthropathy (E10-E14 with common fourth character .6†)
Excl.:
diabetic neuropathic arthropathy (M14.6*)
M14.3* Lipoid dermatoarthritis (E78.8†)
M14.4* Arthropathy in amyloidosis (E85.-†)
M14.5* Arthropathies in other endocrine, nutritional and metabolic disorders
Incl.:
Arthropathy in:
M14.6* Neuropathic arthropathy
Incl.:
Charcot or tabetic arthropathy (A52.1†)
Diabetic neuropathic arthropathy (E10-E14 with common fourth character .6†)
M14.8* Arthropathies in other specified diseases classified elsewhere
Incl.:
Arthropathy in:

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

Arthropathies
(M00-M25)

Incl.:
Disorders affecting predominantly peripheral (limb) joints

Arthrosis
(M15-M19)

Note:

In this block the term osteoarthritis is used as a synonym for arthrosis or osteoarthrosis. The term primary has been used with its customary clinical meaning of no underlying or determining condition identified.

Excl.:
osteoarthritis of spine (M47.-)

M15 Polyarthrosis

Incl.:
arthrosis with mention of more than one site
Excl.:
bilateral involvement of single joint (M16-M19)
M15.0 Primary generalized (osteo)arthrosis
M15.1 Heberden nodes (with arthropathy)
M15.2 Bouchard nodes (with arthropathy)
M15.3 Secondary multiple arthrosis
Incl.:
Post-traumatic polyarthrosis
M15.4 Erosive (osteo)arthrosis
M15.8 Other polyarthrosis
M15.9 Polyarthrosis, unspecified
Incl.:
Generalized osteoarthritis NOS

M16 Coxarthrosis [arthrosis of hip]

M16.0 Primary coxarthrosis, bilateral
M16.1 Other primary coxarthrosis
Incl.:
Primary coxarthrosis:
  • NOS
  • unilateral
M16.2 Coxarthrosis resulting from dysplasia, bilateral
M16.3 Other dysplastic coxarthrosis
Incl.:
Dysplastic coxarthrosis:
  • NOS
  • unilateral
M16.4 Post-traumatic coxarthrosis, bilateral
M16.5 Other post-traumatic coxarthrosis
Incl.:
Post-traumatic coxarthrosis:
  • NOS
  • unilateral
M16.6 Other secondary coxarthrosis, bilateral
M16.7 Other secondary coxarthrosis
Incl.:
Secondary coxarthrosis:
  • NOS
  • unilateral
M16.9 Coxarthrosis, unspecified

M17 Gonarthrosis [arthrosis of knee]

M17.0 Primary gonarthrosis, bilateral
M17.1 Other primary gonarthrosis
Incl.:
Primary gonarthrosis:
  • NOS
  • unilateral
M17.2 Post-traumatic gonarthrosis, bilateral
M17.3 Other post-traumatic gonarthrosis
Incl.:
Post-traumatic gonarthrosis:
  • NOS
  • unilateral
M17.4 Other secondary gonarthrosis, bilateral
M17.5 Other secondary gonarthrosis
Incl.:
Secondary gonarthrosis:
  • NOS
  • unilateral
M17.9 Gonarthrosis, unspecified

M18 Arthrosis of first carpometacarpal joint

M18.0 Primary arthrosis of first carpometacarpal joints, bilateral
M18.1 Other primary arthrosis of first carpometacarpal joint
Incl.:
Primary arthrosis of first carpometacarpal joint:
  • NOS
  • unilateral
M18.2 Post-traumatic arthrosis of first carpometacarpal joints, bilateral
M18.3 Other post-traumatic arthrosis of first carpometacarpal joint
Incl.:
Post-traumatic arthrosis of first carpometacarpal joint:
  • NOS
  • unilateral
M18.4 Other secondary arthrosis of first carpometacarpal joints, bilateral
M18.5 Other secondary arthrosis of first carpometacarpal joint
Incl.:
Secondary arthrosis of first carpometacarpal joint:
  • NOS
  • unilateral
M18.9 Arthrosis of first carpometacarpal joint, unspecified

M19 Other arthrosis

Excl.:
arthrosis of spine (M47.-)
hallux rigidus (M20.2)
polyarthrosis (M15.-)
M19.0 Primary arthrosis of other joints
Incl.:
Primary arthrosis NOS
M19.1 Post-traumatic arthrosis of other joints
Incl.:
Post-traumatic arthrosis NOS
M19.2 Other secondary arthrosis
Incl.:
Secondary arthrosis NOS
M19.8 Other specified arthrosis
M19.9 Arthrosis, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

Arthropathies
(M00-M25)

Incl.:
Disorders affecting predominantly peripheral (limb) joints

Other joint disorders
(M20-M25)

Excl.:
joints of the spine (M40-M54)

M20 Acquired deformities of fingers and toes

Excl.:
acquired absence of fingers and toes (Z89.-)
congenital:
M20.0 Deformity of finger(s)
Incl.:
Boutonnière and swan-neck deformities
Excl.:
clubbing of fingers (R68.3)
palmar fascial fibromatosis [Dupuytren] (M72.0)
trigger finger (M65.3)
M20.1 Hallux valgus (acquired)
Incl.:
Bunion
M20.2 Hallux rigidus
M20.3 Other deformity of hallux (acquired)
Incl.:
Hallux varus
M20.4 Other hammer toe(s) (acquired)
M20.5 Other deformities of toe(s) (acquired)
M20.6 Acquired deformity of toe(s), unspecified

M21 Other acquired deformities of limbs

Excl.:
acquired absence of limb (Z89.-)
acquired deformities of fingers or toes (M20.-)
congenital:
coxa plana (M91.2)
M21.0 Valgus deformity, not elsewhere classified
Excl.:
metatarsus valgus (Q66.6)
talipes calcaneovalgus (Q66.4)
M21.1 Varus deformity, not elsewhere classified
Excl.:
metatarsus varus (Q66.2)
tibia vara (M92.5)
M21.2 Flexion deformity
M21.3 Wrist or foot drop (acquired)
M21.4 Flat foot [pes planus] (acquired)
Excl.:
congenital pes planus (Q66.5)
M21.5 Acquired clawhand, clubhand, clawfoot and clubfoot
Excl.:
clubfoot, not specified as acquired (Q66.8)
M21.6 Other acquired deformities of ankle and foot
Excl.:
deformities of toe (acquired) (M20.1-M20.6)
M21.7 Unequal limb length (acquired)
M21.8 Other specified acquired deformities of limbs
M21.9 Acquired deformity of limb, unspecified

M22 Disorders of patella

Excl.:
dislocation of patella (S83.0)
M22.0 Recurrent dislocation of patella
M22.1 Recurrent subluxation of patella
M22.2 Patellofemoral disorders
M22.3 Other derangements of patella
M22.4 Chondromalacia patellae
M22.8 Other disorders of patella
M22.9 Disorder of patella, unspecified

M23 Internal derangement of knee

Excl.:
ankylosis (M24.6)
current injury - see injury to the knee and lower leg (S80-S89)
deformity of knee (M21.-)
disorders of patella (M22.-)
osteochondritis dissecans (M93.2)
recurrent dislocation or subluxation (M24.4)
recurrent dislocation or subluxation
Modifiers

The following supplementary subclassification to indicate the site of involvement is provided for optional use with appropriate subcategories in M23.-; see also note at the beginning of this chapter.

Code Title
0
Multiple sites
1
Anterior cruciate ligament or Anterior horn of medial meniscus
2
Posterior cruciate ligament or Posterior horn of medial meniscus
3
Medial collateral ligament or Other and unspecified medial meniscus
4
Lateral collateral ligament or Anterior horn of lateral meniscus
5
Posterior horn of lateral meniscus
6
Other and unspecified lateral meniscus
7
Capsular ligament
9
Unspecified ligament or Unspecified meniscus
M23.0 Cystic meniscus
M23.1 Discoid meniscus (congenital)
M23.2 Derangement of meniscus due to old tear or injury
Incl.:
Old bucket-handle tear
M23.3 Other meniscus derangements
Incl.:
  • Degenerate
  • Detached
  • Retained
  • meniscus
M23.4 Loose body in knee
M23.5 Chronic instability of knee
M23.6 Other spontaneous disruption of ligament(s) of knee
M23.8 Other internal derangements of knee
Incl.:
Laxity of ligament of knee
Snapping knee
M23.9 Internal derangement of knee, unspecified

M24 Other specific joint derangements

Excl.:
current injury - see injury of joint by body region
ganglion (M67.4)
snapping knee (M23.8)
temporomandibular joint disorders (K07.6)
M24.0 Loose body in joint
Excl.:
loose body in knee (M23.4)
M24.1 Other articular cartilage disorders
Excl.:
chondrocalcinosis (M11.1-M11.2)
internal derangement of knee (M23.-)
metastatic calcification (E83.5)
ochronosis (E70.2)
M24.2 Disorder of ligament
Incl.:
Instability secondary to old ligament injury
Ligamentous laxity NOS
Excl.:
familial ligamentous laxity (M35.7)
knee (M23.5-M23.8)
M24.3 Pathological dislocation and subluxation of joint, not elsewhere classified
Excl.:
dislocation or displacement of joint:
  • congenital - see congenital malformations and deformations of the musculoskeletal system (Q65-Q79)
  • current injury - see injury of joints and ligaments by body region
  • recurrent (M24.4)
M24.4 Recurrent dislocation and subluxation of joint
Excl.:
patella (M22.0-M22.1)
vertebral subluxation (M43.3-M43.5)
M24.5 Contracture of joint
Excl.:
acquired deformities of limbs (M20-M21)
contracture of tendon (sheath) without contracture of joint (M67.1)
Dupuytren contracture (M72.0)
M24.6 Ankylosis of joint
Excl.:
spine (M43.2)
stiffness of joint without ankylosis (M25.6)
M24.7 Protrusio acetabuli
M24.8 Other specific joint derangements, not elsewhere classified
Excl.:
that involving iliotibial band syndrome (M76.3)
M24.9 Joint derangement, unspecified

M25 Other joint disorders, not elsewhere classified

Excl.:
abnormality of gait and mobility (R26.-)
calcification of:
deformities classified to M20-M21
difficulty in walking (R26.2)
M25.0 Haemarthrosis
Excl.:
current injury - see injury of joint by body region
M25.1 Fistula of joint
M25.2 Flail joint
M25.3 Other instability of joint
Excl.:
instability of joint secondary to:
  • old ligament injury (M24.2)
  • removal of joint prosthesis (M96.8)
M25.4 Effusion of joint
Excl.:
hydrarthrosis of yaws (A66.6)
M25.5 Pain in joint
M25.6 Stiffness of joint, not elsewhere classified
M25.7 Osteophyte
M25.8 Other specified joint disorders
M25.9 Joint disorder, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

Systemic connective tissue disorders
(M30-M36)

Incl.:
autoimmune disease:
  • NOS
  • systemic
collagen (vascular) disease:
  • NOS
  • systemic
Excl.:
antiphospholipid syndrome (D68.6)
autoimmune disease, single organ or single cell-type (code to relevant condition category)

M30 Polyarteritis nodosa and related conditions

M30.0 Polyarteritis nodosa
M30.1 Polyarteritis with lung involvement [Churg-Strauss]
Incl.:
Allergic granulomatous angiitis
M30.2 Juvenile polyarteritis
M30.3 Mucocutaneous lymph node syndrome [Kawasaki]
M30.8 Other conditions related to polyarteritis nodosa
Incl.:
Polyangiitis overlap syndrome

M31 Other necrotizing vasculopathies

M31.0 Hypersensitivity angiitis
Incl.:
Goodpasture syndrome
M31.1 Thrombotic microangiopathy
Incl.:
Thrombotic thrombocytopenic purpura
M31.2 Lethal midline granuloma
M31.3 Wegener granulomatosis
Incl.:
Necrotizing respiratory granulomatosis
M31.4 Aortic arch syndrome [Takayasu]
M31.5 Giant cell arteritis with polymyalgia rheumatica
M31.6 Other giant cell arteritis
M31.7 Microscopic polyangiitis
Incl.:
Microscopic polyarteritis
Excl.:
polyarteritis nodosa (M30.0)
M31.8 Other specified necrotizing vasculopathies
Incl.:
Hypocomplementaemic vasculitis
M31.9 Necrotizing vasculopathy, unspecified

M32 Systemic lupus erythematosus

Excl.:
lupus erythematosus (discoid)(NOS) (L93.0)
M32.0 Drug-induced systemic lupus erythematosus
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
M32.1† Systemic lupus erythematosus with organ or system involvement
Incl.:
Libman-Sacks disease (I39.-*)
Lupus pericarditis (I32.8*)
Systemic lupus erythematosus with:
M32.8 Other forms of systemic lupus erythematosus
M32.9 Systemic lupus erythematosus, unspecified

M33 Dermatopolymyositis

M33.0 Juvenile dermatomyositis
M33.1 Other dermatomyositis
M33.2 Polymyositis
M33.9 Dermatopolymyositis, unspecified

M34 Systemic sclerosis

Incl.:
scleroderma
Excl.:
scleroderma:
M34.0 Progressive systemic sclerosis
M34.1 CR(E)ST syndrome
Additional Text

Combination of calcinosis, Raynaud phenomenon, (o)esophageal dysfunction, sclerodactyly, telangiectasia.

M34.2 Systemic sclerosis induced by drugs and chemicals
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify cause.
M34.8 Other forms of systemic sclerosis
Incl.:
Systemic sclerosis with:
M34.9 Systemic sclerosis, unspecified

M35 Other systemic involvement of connective tissue

Excl.:
reactive perforating collagenosis (L87.1)
M35.0 Sicca syndrome [Sjögren]
Incl.:
Sjögren syndrome with:
  • keratoconjunctivitis† (H19.3*)
  • lung involvement† (J99.1*)
  • myopathy† (G73.7*)
  • renal tubulo-interstitial disorders† (N16.4*)
M35.1 Other overlap syndromes
Incl.:
Mixed connective tissue disease
Excl.:
polyangiitis overlap syndrome (M30.8)
M35.2 Behçet disease
M35.3 Polymyalgia rheumatica
Excl.:
polymyalgia rheumatica with giant cell arteritis (M31.5)
M35.4 Diffuse (eosinophilic) fasciitis
M35.5 Multifocal fibrosclerosis
M35.6 Relapsing panniculitis [Weber-Christian]
Excl.:
panniculitis:
M35.7 Hypermobility syndrome
Incl.:
Familial ligamentous laxity
Excl.:
Ehlers-Danlos syndrome (Q79.6)
ligamentous laxity NOS (M24.2)
M35.8 Other specified systemic involvement of connective tissue
M35.9 Systemic involvement of connective tissue, unspecified
Incl.:
Autoimmune disease (systemic) NOS
Collagen (vascular) disease NOS

M36* Systemic disorders of connective tissue in diseases classified elsewhere

Excl.:
arthropathies in diseases classified elsewhere (M14.-*)
M36.0* Dermato(poly)myositis in neoplastic disease (C00-D48†)
M36.1* Arthropathy in neoplastic disease (C00-D48†)
Incl.:
Arthropathy in:
M36.2* Haemophilic arthropathy (D66-D68†)
M36.3* Arthropathy in other blood disorders (D50-D76†)
Excl.:
arthropathy in Henoch(-Schönlein) purpura (M36.4*)
M36.4* Arthropathy in hypersensitivity reactions classified elsewhere
Incl.:
Arthropathy in Henoch(-Schönlein) purpura (D69.0†)
M36.8* Systemic disorders of connective tissue in other diseases classified elsewhere
Incl.:
Systemic disorders of connective tissue in:

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

Dorsopathies
(M40-M54)

Modifiers

The following supplementary subclassification to indicate the site of involvement is provided for optional use with appropriate categories in the block on dorsopathies, except categories M50 and M51; see also note at the beginning of this chapter.

Code Title
0
Multiple sites in spine
1
Occipito-atlanto-axial region
2
Cervical region
3
Cervicothoracic region
4
Thoracic region
5
Thoracolumbar region
6
Lumbar region
7
Lumbosacral region
8
Sacral and sacrococcygeal region
9
Site unspecified

M40 Kyphosis and lordosis

Excl.:
kyphoscoliosis (M41.-)
kyphosis and lordosis:
M40.0 Postural kyphosis
Excl.:
osteochondrosis of spine (M42.-)
M40.1 Other secondary kyphosis
M40.2 Other and unspecified kyphosis
M40.3 Flatback syndrome
M40.4 Other lordosis
Incl.:
Lordosis:
  • acquired
  • postural
M40.5 Lordosis, unspecified

M41 Scoliosis

Incl.:
kyphoscoliosis
Excl.:
congenital scoliosis:
kyphoscoliotic heart disease (I27.1)
postprocedural (M96.-)
M41.0 Infantile idiopathic scoliosis
M41.1 Juvenile idiopathic scoliosis
Incl.:
Adolescent scoliosis
M41.2 Other idiopathic scoliosis
M41.3 Thoracogenic scoliosis
M41.4 Neuromuscular scoliosis
Additional Text

Scoliosis secondary to cerebral palsy, Friedreich ataxia, poliomyelitis, and other neuromuscular disorders.

M41.5 Other secondary scoliosis
M41.8 Other forms of scoliosis
M41.9 Scoliosis, unspecified

M42 Spinal osteochondrosis

Excl.:
postural kyphosis (M40.0)
M42.0 Juvenile osteochondrosis of spine
Incl.:
Calvé disease
Scheuermann disease
Excl.:
postural kyphosis (M40.0)
M42.1 Adult osteochondrosis of spine
M42.9 Spinal osteochondrosis, unspecified

M43 Other deforming dorsopathies

Excl.:
congenital spondylolysis and spondylolisthesis (Q76.2)
hemivertebra (Q76.3-Q76.4)
Klippel-Feil syndrome (Q76.1)
lumbarization and sacralization (Q76.4)
platyspondylisis (Q76.4)
spina bifida occulta (Q76.0)
spinal curvature in:
  • osteoporosis (M80-M81)
  • Paget disease of bone [osteitis deformans] (M88.-)
M43.0 Spondylolysis
M43.1 Spondylolisthesis
M43.2 Other fusion of spine
Incl.:
Ankylosis of spinal joint
Excl.:
ankylosing spondylitis (M45)
arthrodesis status (Z98.1)
pseudoarthrosis after fusion or arthrodesis (M96.0)
M43.3 Recurrent atlantoaxial subluxation with myelopathy
M43.4 Other recurrent atlantoaxial subluxation
M43.5 Other recurrent vertebral subluxation
Excl.:
biomechanical lesions NEC (M99.-)
M43.6 Torticollis
Excl.:
torticollis:
  • congenital (sternomastoid) (Q68.0)
  • current injury - see injury of spine by body region
  • due to birth injury (P15.2)
  • psychogenic (F45.8)
  • spasmodic (G24.3)
M43.8 Other specified deforming dorsopathies
Excl.:
kyphosis and lordosis (M40.-)
scoliosis (M41.-)
M43.9 Deforming dorsopathy, unspecified
Incl.:
Curvature of spine NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

Dorsopathies
(M40-M54)

Modifiers

The following supplementary subclassification to indicate the site of involvement is provided for optional use with appropriate categories in the block on dorsopathies, except categories M50 and M51; see also note at the beginning of this chapter.

Code Title
0
Multiple sites in spine
1
Occipito-atlanto-axial region
2
Cervical region
3
Cervicothoracic region
4
Thoracic region
5
Thoracolumbar region
6
Lumbar region
7
Lumbosacral region
8
Sacral and sacrococcygeal region
9
Site unspecified

M40 Kyphosis and lordosis

Excl.:
kyphoscoliosis (M41.-)
kyphosis and lordosis:
M40.0 Postural kyphosis
Excl.:
osteochondrosis of spine (M42.-)
M40.1 Other secondary kyphosis
M40.2 Other and unspecified kyphosis
M40.3 Flatback syndrome
M40.4 Other lordosis
Incl.:
Lordosis:
  • acquired
  • postural
M40.5 Lordosis, unspecified

M41 Scoliosis

Incl.:
kyphoscoliosis
Excl.:
congenital scoliosis:
kyphoscoliotic heart disease (I27.1)
postprocedural (M96.-)
M41.0 Infantile idiopathic scoliosis
M41.1 Juvenile idiopathic scoliosis
Incl.:
Adolescent scoliosis
M41.2 Other idiopathic scoliosis
M41.3 Thoracogenic scoliosis
M41.4 Neuromuscular scoliosis
Additional Text

Scoliosis secondary to cerebral palsy, Friedreich ataxia, poliomyelitis, and other neuromuscular disorders.

M41.5 Other secondary scoliosis
M41.8 Other forms of scoliosis
M41.9 Scoliosis, unspecified

M42 Spinal osteochondrosis

Excl.:
postural kyphosis (M40.0)
M42.0 Juvenile osteochondrosis of spine
Incl.:
Calvé disease
Scheuermann disease
Excl.:
postural kyphosis (M40.0)
M42.1 Adult osteochondrosis of spine
M42.9 Spinal osteochondrosis, unspecified

M43 Other deforming dorsopathies

Excl.:
congenital spondylolysis and spondylolisthesis (Q76.2)
hemivertebra (Q76.3-Q76.4)
Klippel-Feil syndrome (Q76.1)
lumbarization and sacralization (Q76.4)
platyspondylisis (Q76.4)
spina bifida occulta (Q76.0)
spinal curvature in:
  • osteoporosis (M80-M81)
  • Paget disease of bone [osteitis deformans] (M88.-)
M43.0 Spondylolysis
M43.1 Spondylolisthesis
M43.2 Other fusion of spine
Incl.:
Ankylosis of spinal joint
Excl.:
ankylosing spondylitis (M45)
arthrodesis status (Z98.1)
pseudoarthrosis after fusion or arthrodesis (M96.0)
M43.3 Recurrent atlantoaxial subluxation with myelopathy
M43.4 Other recurrent atlantoaxial subluxation
M43.5 Other recurrent vertebral subluxation
Excl.:
biomechanical lesions NEC (M99.-)
M43.6 Torticollis
Excl.:
torticollis:
  • congenital (sternomastoid) (Q68.0)
  • current injury - see injury of spine by body region
  • due to birth injury (P15.2)
  • psychogenic (F45.8)
  • spasmodic (G24.3)
M43.8 Other specified deforming dorsopathies
Excl.:
kyphosis and lordosis (M40.-)
scoliosis (M41.-)
M43.9 Deforming dorsopathy, unspecified
Incl.:
Curvature of spine NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

Dorsopathies
(M40-M54)

Modifiers

The following supplementary subclassification to indicate the site of involvement is provided for optional use with appropriate categories in the block on dorsopathies, except categories M50 and M51; see also note at the beginning of this chapter.

Code Title
0
Multiple sites in spine
1
Occipito-atlanto-axial region
2
Cervical region
3
Cervicothoracic region
4
Thoracic region
5
Thoracolumbar region
6
Lumbar region
7
Lumbosacral region
8
Sacral and sacrococcygeal region
9
Site unspecified

M45 Ankylosing spondylitis

Incl.:
Rheumatoid arthritis of spine
Excl.:
arthropathy in Reiter disease (M02.3)
Behçet disease (M35.2)
juvenile (ankylosing) spondylitis (M08.1)

M46 Other inflammatory spondylopathies

M46.0 Spinal enthesopathy
Incl.:
Disorder of ligamentous or muscular attachments of spine
M46.1 Sacroiliitis, not elsewhere classified
M46.2 Osteomyelitis of vertebra
M46.3 Infection of intervertebral disc (pyogenic)
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
M46.4 Discitis, unspecified
M46.5 Other infective spondylopathies
M46.8 Other specified inflammatory spondylopathies
M46.9 Inflammatory spondylopathy, unspecified

M47 Spondylosis

Incl.:
arthrosis or osteoarthritis of spine
degeneration of facet joints
M47.0† Anterior spinal and vertebral artery compression syndromes (G99.2*)
M47.1 Other spondylosis with myelopathy
Incl.:
Spondylogenic compression of spinal cord† (G99.2*)
Excl.:
vertebral subluxation (M43.3-M43.5)
M47.2 Other spondylosis with radiculopathy
M47.8 Other spondylosis
Incl.:
  • Cervical spondylosis
  • Lumbosacral spondylosis
  • Thoracic spondylosis
  • without myelopathy or radiculopathy
M47.9 Spondylosis, unspecified

M48 Other spondylopathies

M48.0 Spinal stenosis
Incl.:
Caudal stenosis
M48.1 Ankylosing hyperostosis [Forestier]
Incl.:
Diffuse idiopathic skeletal hyperostosis [DISH]
M48.2 Kissing spine
M48.3 Traumatic spondylopathy
M48.4 Fatigue fracture of vertebra
Incl.:
Stress fracture of vertebra
M48.5 Collapsed vertebra, not elsewhere classified
Incl.:
Collapsed vertebra NOS
Wedging of vertebra NOS
Excl.:
collapsed vertebra in osteoporosis (M80.-)
current injury - see injury of spine by body region.
M48.8 Other specified spondylopathies
Incl.:
Ossification of posterior longitudinal ligament
M48.9 Spondylopathy, unspecified

M49* Spondylopathies in diseases classified elsewhere

Excl.:
psoriatic and enteropathic arthropathies (M07.-*, M09.-*)
M49.0* Tuberculosis of spine (A18.0†)
Incl.:
Pott curvature
M49.1* Brucella spondylitis (A23.-†)
M49.2* Enterobacterial spondylitis (A01-A04†)
M49.3* Spondylopathy in other infectious and parasitic diseases classified elsewhere
Excl.:
neuropathic spondylopathy in tabes dorsalis (M49.4*)
M49.4* Neuropathic spondylopathy
Incl.:
Neuropathic spondylopathy in:
M49.5* Collapsed vertebra in diseases classified elsewhere
Incl.:
Metastatic fracture of vertebra (C79.5†)
M49.8* Spondylopathy in other diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

Dorsopathies
(M40-M54)

Modifiers

The following supplementary subclassification to indicate the site of involvement is provided for optional use with appropriate categories in the block on dorsopathies, except categories M50 and M51; see also note at the beginning of this chapter.

Code Title
0
Multiple sites in spine
1
Occipito-atlanto-axial region
2
Cervical region
3
Cervicothoracic region
4
Thoracic region
5
Thoracolumbar region
6
Lumbar region
7
Lumbosacral region
8
Sacral and sacrococcygeal region
9
Site unspecified

Other dorsopathies
(M50-M54)

Excl.:
current injury - see injury of spine by body region
discitis NOS (M46.4)

M50 Cervical disc disorders

Incl.:
cervical disc disorders with cervicalgia
cervicothoracic disc disorders
M50.0† Cervical disc disorder with myelopathy (G99.2*)
M50.1 Cervical disc disorder with radiculopathy
Excl.:
brachial radiculitis NOS (M54.1)
M50.2 Other cervical disc displacement
M50.3 Other cervical disc degeneration
M50.8 Other cervical disc disorders
M50.9 Cervical disc disorder, unspecified

M51 Other intervertebral disc disorders

Incl.:
thoracic, thoracolumbar and lumbosacral disc disorders
M51.0† Lumbar and other intervertebral disc disorders with myelopathy (G99.2*)
M51.1† Lumbar and other intervertebral disc disorders with radiculopathy (G55.1*)
Incl.:
Sciatica due to intervertebral disc disorder
Excl.:
lumbar radiculitis NOS (M54.1)
M51.2 Other specified intervertebral disc displacement
Incl.:
Lumbago due to displacement of intervertebral disc
M51.3 Other specified intervertebral disc degeneration
M51.4 Schmorl nodes
M51.8 Other specified intervertebral disc disorders
M51.9 Intervertebral disc disorder, unspecified

M53 Other dorsopathies, not elsewhere classified

M53.0 Cervicocranial syndrome
Incl.:
Posterior cervical sympathetic syndrome
M53.1 Cervicobrachial syndrome
Excl.:
cervical disc disorder (M50.-)
thoracic outlet syndrome (G54.0)
M53.2 Spinal instabilities
M53.3 Sacrococcygeal disorders, not elsewhere classified
Incl.:
Coccygodynia
M53.8 Other specified dorsopathies
M53.9 Dorsopathy, unspecified

M54 Dorsalgia

Excl.:
psychogenic dorsalgia (F45.4)
M54.0 Panniculitis affecting regions of neck and back
Excl.:
panniculitis:
M54.1 Radiculopathy
Incl.:
Neuritis or radiculitis:
  • brachial NOS
  • lumbar NOS
  • lumbosacral NOS
  • thoracic NOS
Radiculitis NOS
Excl.:
neuralgia and neuritis NOS (M79.2)
radiculopathy with:
  • cervical disc disorder (M50.1)
  • lumbar and other intervertebral disc disorder (M51.1)
  • spondylosis (M47.2)
M54.2 Cervicalgia
Excl.:
cervicalgia due to intervertebral cervical disc disorder (M50.-)
M54.3 Sciatica
Excl.:
lesion of sciatic nerve (G57.0)
sciatica:
  • due to intervertebral disc disorder (M51.1)
  • with lumbago (M54.4)
M54.4 Lumbago with sciatica
Excl.:
that due to intervertebral disc disorder (M51.1)
M54.5 Low back pain
Incl.:
Loin pain
Low back strain
Lumbago NOS
Excl.:
lumbago:
  • due to intervertebral disc displacement (M51.2)
  • with sciatica (M54.4)
M54.6 Pain in thoracic spine
Excl.:
pain due to intervertebral disc disorder (M51.-)
M54.8 Other dorsalgia
M54.9 Dorsalgia, unspecified
Incl.:
Backache NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

Disorders of muscles
(M60-M63)

Excl.:
dermatopolymyositis (M33.-)
muscular dystrophies and myopathies (G71-G72)
myopathy in:
  • amyloidosis (E85.-)
  • polyarteritis nodosa (M30.0)
  • rheumatoid arthritis (M05.3)
  • scleroderma (M34.-)
  • Sjögren syndrome (M35.0)
  • systemic lupus erythematosus (M32.-)
M60.0 Infective myositis
Incl.:
Tropical pyomyositis
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
M60.1 Interstitial myositis
M60.2 Foreign body granuloma of soft tissue, not elsewhere classified
Excl.:
foreign body granuloma of skin and subcutaneous tissue (L92.3)
M60.8 Other myositis
M60.9 Myositis, unspecified

M61 Calcification and ossification of muscle

M61.0 Myositis ossificans traumatica
M61.1 Myositis ossificans progressiva
Incl.:
Fibrodysplasia ossificans progressiva
M61.2 Paralytic calcification and ossification of muscle
Incl.:
Myositis ossificans associated with quadriplegia or paraplegia
M61.3 Calcification and ossification of muscles associated with burns
Incl.:
Myositis ossificans associated with burns
M61.4 Other calcification of muscle
Excl.:
calcific tendinitis (M65.2)
calcific tendinitis
M61.5 Other ossification of muscle
M61.9 Calcification and ossification of muscle, unspecified

M62 Other disorders of muscle

Excl.:
cramp and spasm (R25.2)
myalgia (M79.1)
myopathy:
stiff-man syndrome (G25.8)
M62.0 Diastasis of muscle
M62.1 Other rupture of muscle (nontraumatic)
Excl.:
rupture of tendon (M66.-)
traumatic rupture of muscle - see injury of muscle by body region
M62.2 Ischaemic infarction of muscle
Incl.:
Compartment syndrome, non-traumatic
Excl.:
compartment syndrome, traumatic (T79.6)
traumatic ischaemia of muscle (T79.6)
Volkmann ischaemic contracture (T79.6)
M62.3 Immobility syndrome (paraplegic)
M62.4 Contracture of muscle
Excl.:
contracture of joint (M24.5)
M62.5 Muscle wasting and atrophy, not elsewhere classified
Incl.:
Disuse atrophy NEC
M62.6 Muscle strain
Excl.:
current injury - see injury of muscle by body region
M62.8 Other specified disorders of muscle
Incl.:
Muscle (sheath) hernia
M62.9 Disorder of muscle, unspecified

M63* Disorders of muscle in diseases classified elsewhere

Excl.:
myopathy in:
M63.0* Myositis in bacterial diseases classified elsewhere
Incl.:
Myositis in:
M63.1* Myositis in protozoal and parasitic infections classified elsewhere
Incl.:
Myositis in:
M63.2* Myositis in other infectious diseases classified elsewhere
Incl.:
Myositis in mycosis (B35-B49†)
M63.3* Myositis in sarcoidosis (D86.8†)
M63.8* Other disorders of muscle in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

Disorders of muscles
(M60-M63)

Excl.:
dermatopolymyositis (M33.-)
muscular dystrophies and myopathies (G71-G72)
myopathy in:
  • amyloidosis (E85.-)
  • polyarteritis nodosa (M30.0)
  • rheumatoid arthritis (M05.3)
  • scleroderma (M34.-)
  • Sjögren syndrome (M35.0)
  • systemic lupus erythematosus (M32.-)
M60.0 Infective myositis
Incl.:
Tropical pyomyositis
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
M60.1 Interstitial myositis
M60.2 Foreign body granuloma of soft tissue, not elsewhere classified
Excl.:
foreign body granuloma of skin and subcutaneous tissue (L92.3)
M60.8 Other myositis
M60.9 Myositis, unspecified

M61 Calcification and ossification of muscle

M61.0 Myositis ossificans traumatica
M61.1 Myositis ossificans progressiva
Incl.:
Fibrodysplasia ossificans progressiva
M61.2 Paralytic calcification and ossification of muscle
Incl.:
Myositis ossificans associated with quadriplegia or paraplegia
M61.3 Calcification and ossification of muscles associated with burns
Incl.:
Myositis ossificans associated with burns
M61.4 Other calcification of muscle
Excl.:
calcific tendinitis (M65.2)
calcific tendinitis
M61.5 Other ossification of muscle
M61.9 Calcification and ossification of muscle, unspecified

M62 Other disorders of muscle

Excl.:
cramp and spasm (R25.2)
myalgia (M79.1)
myopathy:
stiff-man syndrome (G25.8)
M62.0 Diastasis of muscle
M62.1 Other rupture of muscle (nontraumatic)
Excl.:
rupture of tendon (M66.-)
traumatic rupture of muscle - see injury of muscle by body region
M62.2 Ischaemic infarction of muscle
Incl.:
Compartment syndrome, non-traumatic
Excl.:
compartment syndrome, traumatic (T79.6)
traumatic ischaemia of muscle (T79.6)
Volkmann ischaemic contracture (T79.6)
M62.3 Immobility syndrome (paraplegic)
M62.4 Contracture of muscle
Excl.:
contracture of joint (M24.5)
M62.5 Muscle wasting and atrophy, not elsewhere classified
Incl.:
Disuse atrophy NEC
M62.6 Muscle strain
Excl.:
current injury - see injury of muscle by body region
M62.8 Other specified disorders of muscle
Incl.:
Muscle (sheath) hernia
M62.9 Disorder of muscle, unspecified

M63* Disorders of muscle in diseases classified elsewhere

Excl.:
myopathy in:
M63.0* Myositis in bacterial diseases classified elsewhere
Incl.:
Myositis in:
M63.1* Myositis in protozoal and parasitic infections classified elsewhere
Incl.:
Myositis in:
M63.2* Myositis in other infectious diseases classified elsewhere
Incl.:
Myositis in mycosis (B35-B49†)
M63.3* Myositis in sarcoidosis (D86.8†)
M63.8* Other disorders of muscle in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

M65 Synovitis and tenosynovitis

Excl.:
chronic crepitant synovitis of hand and wrist (M70.0)
current injury - see injury of ligament or tendon by body region
soft tissue disorders related to use, overuse and pressure (M70.-)
M65.0 Abscess of tendon sheath
Coding-Hint
Use additional code (B95-B96), if desired, to identify bacterial agent.
M65.1 Other infective (teno)synovitis
M65.2 Calcific tendinitis
Excl.:
of shoulder (M75.3)
specified tendinitis (M75-M77)
M65.3 Trigger finger
Incl.:
Nodular tendinous disease
M65.4 Radial styloid tenosynovitis [de Quervain]
M65.8 Other synovitis and tenosynovitis
Incl.:
Irritable hip
M65.9 Synovitis and tenosynovitis, unspecified

M66 Spontaneous rupture of synovium and tendon

Incl.:
rupture that occurs when a normal force is applied to tissues that are inferred to have less than normal strength
Excl.:
rotator cuff syndrome (M75.1)
rupture where an abnormal force is applied to normal tissue - see injury of tendon by body region
M66.0 Rupture of popliteal cyst
M66.1 Rupture of synovium
Incl.:
Rupture of synovial cyst
Excl.:
rupture of popliteal cyst (M66.0)
M66.2 Spontaneous rupture of extensor tendons
M66.3 Spontaneous rupture of flexor tendons
M66.4 Spontaneous rupture of other tendons
M66.5 Spontaneous rupture of unspecified tendon
Incl.:
Rupture at musculotendinous junction, nontraumatic

M67 Other disorders of synovium and tendon

Excl.:
palmar fascial fibromatosis [Dupuytren] (M72.0)
tendinitis NOS (M77.9)
xanthomatosis localized to tendons (E78.2)
M67.0 Short Achilles tendon (acquired)
M67.1 Other contracture of tendon (sheath)
Excl.:
with contracture of joint (M24.5)
M67.2 Synovial hypertrophy, not elsewhere classified
Excl.:
villonodular synovitis (pigmented) (M12.2)
M67.3 Transient synovitis
Incl.:
Toxic synovitis
Excl.:
palindromic rheumatism (M12.3)
M67.4 Ganglion
Incl.:
Ganglion of joint or tendon (sheath)
Excl.:
cyst of:
ganglion in yaws (A66.6)
M67.8 Other specified disorders of synovium and tendon
M67.9 Disorder of synovium and tendon, unspecified

M68* Disorders of synovium and tendon in diseases classified elsewhere

M68.0* Synovitis and tenosynovitis in bacterial diseases classified elsewhere
Incl.:
Synovitis or tenosynovitis in:
M68.8* Other disorders of synovium and tendon in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

M70 Soft tissue disorders related to use, overuse and pressure

Incl.:
soft tissue disorders of occupational origin
Excl.:
bursitis (of):
decubitus ulcer and pressure area (L89.-)
enthesopathies (M76-M77)
M70.0 Chronic crepitant synovitis of hand and wrist
M70.1 Bursitis of hand
M70.2 Olecranon bursitis
M70.3 Other bursitis of elbow
M70.4 Prepatellar bursitis
M70.5 Other bursitis of knee
M70.6 Trochanteric bursitis
Incl.:
Trochanteric tendinitis
M70.7 Other bursitis of hip
Incl.:
Ischial bursitis
M70.8 Other soft tissue disorders related to use, overuse and pressure
M70.9 Unspecified soft tissue disorder related to use, overuse and pressure

M71 Other bursopathies

Excl.:
bunion (M20.1)
bursitis related to use, overuse and pressure (M70.-)
enthesopathies (M76-M77)
M71.0 Abscess of bursa
M71.1 Other infective bursitis
M71.2 Synovial cyst of popliteal space [Baker]
Excl.:
with rupture (M66.0)
M71.3 Other bursal cyst
Incl.:
Synovial cyst NOS
Excl.:
synovial cyst with rupture (M66.1)
M71.4 Calcium deposit in bursa
Excl.:
of shoulder (M75.3)
M71.5 Other bursitis, not elsewhere classified
Excl.:
bursitis (of):
  • NOS (M71.9)
  • shoulder (M75.5)
  • tibial collateral [Pellegrini-Stieda] (M76.4)
M71.8 Other specified bursopathies
M71.9 Bursopathy, unspecified
Incl.:
Bursitis NOS

M72 Fibroblastic disorders

Excl.:
retroperitoneal fibromatosis (D48.3)
M72.0 Palmar fascial fibromatosis [Dupuytren]
M72.1 Knuckle pads
M72.2 Plantar fascial fibromatosis
Incl.:
Plantar fasciitis
M72.4 Pseudosarcomatous fibromatosis
Incl.:
Nodular fasciitis
M72.6 Necrotizing fasciitis
Coding-Hint
Use additional code, if desired, to identify infectious agent
M72.8 Other fibroblastic disorders
Incl.:
Abscess of fascia
Excl.:
fasciitis:
M72.9 Fibroblastic disorder, unspecified
Incl.:
Fasciitis NOS
Fibromatosis NOS

M73* Soft tissue disorders in diseases classified elsewhere

M73.0* Gonococcal bursitis (A54.4†)
M73.1* Syphilitic bursitis (A52.7†)
M73.8* Other soft tissue disorders in diseases classified elsewhere

M75 Shoulder lesions

Excl.:
shoulder-hand syndrome (M89.0)
M75.0 Adhesive capsulitis of shoulder
Incl.:
Frozen shoulder
Periarthritis of shoulder
M75.1 Rotator cuff syndrome
Incl.:
Rotator cuff or supraspinatus tear or rupture (complete)(incomplete), not specified as traumatic
Supraspinatus syndrome
M75.2 Bicipital tendinitis
M75.3 Calcific tendinitis of shoulder
Incl.:
Calcified bursa of shoulder
M75.4 Impingement syndrome of shoulder
M75.5 Bursitis of shoulder
M75.8 Other shoulder lesions
M75.9 Shoulder lesion, unspecified

M76 Enthesopathies of lower limb, excluding foot

Note:

The superficially specific terms bursitis, capsulitis and tendinitis tend to be used indiscriminately for various disorders of peripheral ligamentous or muscular attachments; most of these conditions have been brought together as enthesopathies which is the generic term for lesions at these sites.

Excl.:
bursitis due to use, overuse and pressure (M70.-)
M76.0 Gluteal tendinitis
M76.1 Psoas tendinitis
M76.2 Iliac crest spur
M76.3 Iliotibial band syndrome
M76.4 Tibial collateral bursitis [Pellegrini-Stieda]
M76.5 Patellar tendinitis
M76.6 Achilles tendinitis
Incl.:
Achilles bursitis
M76.7 Peroneal tendinitis
M76.8 Other enthesopathies of lower limb, excluding foot
Incl.:
Anterior tibial syndrome
Posterior tibial tendinitis
M76.9 Enthesopathy of lower limb, unspecified

M77 Other enthesopathies

Excl.:
bursitis:
  • NOS (M71.9)
  • due to use, overuse and pressure (M70.-)
osteophyte (M25.7)
spinal enthesopathy (M46.0)
M77.0 Medial epicondylitis
M77.1 Lateral epicondylitis
Incl.:
Tennis elbow
M77.2 Periarthritis of wrist
M77.3 Calcaneal spur
M77.4 Metatarsalgia
Excl.:
Morton metatarsalgia (G57.6)
M77.5 Other enthesopathy of foot
M77.8 Other enthesopathies, not elsewhere classified
M77.9 Enthesopathy, unspecified
Incl.:
Bone spur NOS
Capsulitis NOS
Periarthritis NOS
Tendinitis NOS

M79 Other soft tissue disorders, not elsewhere classified

Excl.:
soft tissue pain, psychogenic (F45.4)
M79.0 Rheumatism, unspecified
Excl.:
fibromyalgia (M79.7)
palindromic rheumatism (M12.3)
M79.1 Myalgia
Excl.:
myositis (M60.-)
M79.2 Neuralgia and neuritis, unspecified
Excl.:
mononeuropathies (G56-G58)
radiculitis:
sciatica (M54.3-M54.4)
M79.3 Panniculitis, unspecified
Excl.:
panniculitis:
M79.4 Hypertrophy of (infrapatellar) fat pad
M79.5 Residual foreign body in soft tissue
Excl.:
foreign body granuloma of:
  • skin and subcutaneous tissue (L92.3)
  • soft tissue (M60.2)
M79.6 Pain in limb
M79.7 Fibromyalgia
Incl.:
Fibromyositis
Fibrositis
Myofibrositis
M79.8 Other specified soft tissue disorders
M79.9 Soft tissue disorder, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

M80 Osteoporosis with pathological fracture

Incl.:
osteoporotic vertebral collapse and wedging
Excl.:
collapsed vertebra NOS (M48.5)
pathological fracture NOS (M84.4)
wedging of vertebra NOS (M48.5)
M80.0 Postmenopausal osteoporosis with pathological fracture
M80.1 Postoophorectomy osteoporosis with pathological fracture
M80.2 Osteoporosis of disuse with pathological fracture
M80.3 Postsurgical malabsorption osteoporosis with pathological fracture
M80.4 Drug-induced osteoporosis with pathological fracture
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
M80.5 Idiopathic osteoporosis with pathological fracture
M80.8 Other osteoporosis with pathological fracture
M80.9 Unspecified osteoporosis with pathological fracture

M81 Osteoporosis without pathological fracture

Excl.:
osteoporosis with pathological fracture (M80.-)
M81.0 Postmenopausal osteoporosis
M81.1 Postoophorectomy osteoporosis
M81.2 Osteoporosis of disuse
Excl.:
Sudeck atrophy (M89.0)
M81.3 Postsurgical malabsorption osteoporosis
M81.4 Drug-induced osteoporosis
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
M81.5 Idiopathic osteoporosis
M81.6 Localized osteoporosis [Lequesne]
Excl.:
Sudeck atrophy (M89.0)
M81.8 Other osteoporosis
Incl.:
Senile osteoporosis
M81.9 Osteoporosis, unspecified

M82* Osteoporosis in diseases classified elsewhere

M82.0* Osteoporosis in multiple myelomatosis (C90.0†)
M82.1* Osteoporosis in endocrine disorders (E00-E34†)
M82.8* Osteoporosis in other diseases classified elsewhere

M83 Adult osteomalacia

Excl.:
osteomalacia:
  • infantile and juvenile (E55.0)
  • vitamin-D-resistant (E83.3)
renal osteodystrophy (N25.0)
rickets (active) (E55.0)
rickets (active)
M83.0 Puerperal osteomalacia
M83.1 Senile osteomalacia
M83.2 Adult osteomalacia due to malabsorption
Incl.:
Postsurgical malabsorption osteomalacia in adults
M83.3 Adult osteomalacia due to malnutrition
M83.4 Aluminium bone disease
M83.5 Other drug-induced osteomalacia in adults
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
M83.8 Other adult osteomalacia
M83.9 Adult osteomalacia, unspecified

M84 Disorders of continuity of bone

M84.0 Malunion of fracture
M84.1 Nonunion of fracture [pseudarthrosis]
Excl.:
pseudarthrosis after fusion or arthrodesis (M96.0)
M84.2 Delayed union of fracture
M84.3 Stress fracture, not elsewhere classified
Incl.:
Stress fracture NOS
Excl.:
stress fracture of vertebra (M48.4)
M84.4 Pathological fracture, not elsewhere classified
Incl.:
Pathological fracture NOS
Excl.:
collapsed vertebra NEC (M48.5)
pathological fracture in osteoporosis (M80.-)
M84.8 Other disorders of continuity of bone
M84.9 Disorder of continuity of bone, unspecified

M85 Other disorders of bone density and structure

Excl.:
osteogenesis imperfecta (Q78.0)
osteopetrosis (Q78.2)
osteopoikilosis (Q78.8)
polyostotic fibrous dysplasia (Q78.1)
M85.0 Fibrous dysplasia (monostotic)
Excl.:
fibrous dysplasia of jaw (K10.8)
M85.1 Skeletal fluorosis
M85.2 Hyperostosis of skull
M85.3 Osteitis condensans
M85.4 Solitary bone cyst
Excl.:
solitary cyst of jaw (K09.1-K09.2)
M85.5 Aneurysmal bone cyst
Excl.:
aneurysmal cyst of jaw (K09.2)
M85.6 Other cyst of bone
Excl.:
cyst of jaw NEC (K09.1-K09.2)
osteitis fibrosa cystica generalisata [von Recklinghausen disease of bone] (E21.0)
M85.8 Other specified disorders of bone density and structure
Incl.:
Hyperostosis of bones, except skull
Osteosclerosis, acquired
Excl.:
diffuse idiopathic skeletal hyperostosis [DISH] (M48.1)
osteosclerosis:
M85.9 Disorder of bone density and structure, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

M80 Osteoporosis with pathological fracture

Incl.:
osteoporotic vertebral collapse and wedging
Excl.:
collapsed vertebra NOS (M48.5)
pathological fracture NOS (M84.4)
wedging of vertebra NOS (M48.5)
M80.0 Postmenopausal osteoporosis with pathological fracture
M80.1 Postoophorectomy osteoporosis with pathological fracture
M80.2 Osteoporosis of disuse with pathological fracture
M80.3 Postsurgical malabsorption osteoporosis with pathological fracture
M80.4 Drug-induced osteoporosis with pathological fracture
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
M80.5 Idiopathic osteoporosis with pathological fracture
M80.8 Other osteoporosis with pathological fracture
M80.9 Unspecified osteoporosis with pathological fracture

M81 Osteoporosis without pathological fracture

Excl.:
osteoporosis with pathological fracture (M80.-)
M81.0 Postmenopausal osteoporosis
M81.1 Postoophorectomy osteoporosis
M81.2 Osteoporosis of disuse
Excl.:
Sudeck atrophy (M89.0)
M81.3 Postsurgical malabsorption osteoporosis
M81.4 Drug-induced osteoporosis
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
M81.5 Idiopathic osteoporosis
M81.6 Localized osteoporosis [Lequesne]
Excl.:
Sudeck atrophy (M89.0)
M81.8 Other osteoporosis
Incl.:
Senile osteoporosis
M81.9 Osteoporosis, unspecified

M82* Osteoporosis in diseases classified elsewhere

M82.0* Osteoporosis in multiple myelomatosis (C90.0†)
M82.1* Osteoporosis in endocrine disorders (E00-E34†)
M82.8* Osteoporosis in other diseases classified elsewhere

M83 Adult osteomalacia

Excl.:
osteomalacia:
  • infantile and juvenile (E55.0)
  • vitamin-D-resistant (E83.3)
renal osteodystrophy (N25.0)
rickets (active) (E55.0)
rickets (active)
M83.0 Puerperal osteomalacia
M83.1 Senile osteomalacia
M83.2 Adult osteomalacia due to malabsorption
Incl.:
Postsurgical malabsorption osteomalacia in adults
M83.3 Adult osteomalacia due to malnutrition
M83.4 Aluminium bone disease
M83.5 Other drug-induced osteomalacia in adults
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
M83.8 Other adult osteomalacia
M83.9 Adult osteomalacia, unspecified

M84 Disorders of continuity of bone

M84.0 Malunion of fracture
M84.1 Nonunion of fracture [pseudarthrosis]
Excl.:
pseudarthrosis after fusion or arthrodesis (M96.0)
M84.2 Delayed union of fracture
M84.3 Stress fracture, not elsewhere classified
Incl.:
Stress fracture NOS
Excl.:
stress fracture of vertebra (M48.4)
M84.4 Pathological fracture, not elsewhere classified
Incl.:
Pathological fracture NOS
Excl.:
collapsed vertebra NEC (M48.5)
pathological fracture in osteoporosis (M80.-)
M84.8 Other disorders of continuity of bone
M84.9 Disorder of continuity of bone, unspecified

M85 Other disorders of bone density and structure

Excl.:
osteogenesis imperfecta (Q78.0)
osteopetrosis (Q78.2)
osteopoikilosis (Q78.8)
polyostotic fibrous dysplasia (Q78.1)
M85.0 Fibrous dysplasia (monostotic)
Excl.:
fibrous dysplasia of jaw (K10.8)
M85.1 Skeletal fluorosis
M85.2 Hyperostosis of skull
M85.3 Osteitis condensans
M85.4 Solitary bone cyst
Excl.:
solitary cyst of jaw (K09.1-K09.2)
M85.5 Aneurysmal bone cyst
Excl.:
aneurysmal cyst of jaw (K09.2)
M85.6 Other cyst of bone
Excl.:
cyst of jaw NEC (K09.1-K09.2)
osteitis fibrosa cystica generalisata [von Recklinghausen disease of bone] (E21.0)
M85.8 Other specified disorders of bone density and structure
Incl.:
Hyperostosis of bones, except skull
Osteosclerosis, acquired
Excl.:
diffuse idiopathic skeletal hyperostosis [DISH] (M48.1)
osteosclerosis:
M85.9 Disorder of bone density and structure, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

Other osteopathies
(M86-M90)

Excl.:
postprocedural osteopathies (M96.-)

M86 Osteomyelitis

Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
Excl.:
osteomyelitis (of):
M86.0 Acute haematogenous osteomyelitis
M86.1 Other acute osteomyelitis
M86.2 Subacute osteomyelitis
M86.3 Chronic multifocal osteomyelitis
M86.4 Chronic osteomyelitis with draining sinus
M86.5 Other chronic haematogenous osteomyelitis
M86.6 Other chronic osteomyelitis
M86.8 Other osteomyelitis
Incl.:
Brodie abscess
M86.9 Osteomyelitis, unspecified
Incl.:
Infection of bone NOS
Periostitis without mention of osteomyelitis

M87 Osteonecrosis

Incl.:
avascular necrosis of bone
Excl.:
osteochondropathies (M91-M93)
osteonecrosis of jaw (drug-induced) (radiation-induced) (K10.2)
M87.0 Idiopathic aseptic necrosis of bone
M87.1 Osteonecrosis due to drugs
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
M87.2 Osteonecrosis due to previous trauma
M87.3 Other secondary osteonecrosis
M87.8 Other osteonecrosis
M87.9 Osteonecrosis, unspecified

M88 Paget disease of bone [osteitis deformans]

M88.0 Paget disease of skull
M88.8 Paget disease of other bones
M88.9 Paget disease of bone, unspecified

M89 Other disorders of bone

M89.0 Algoneurodystrophy
Incl.:
Shoulder-hand syndrome
Sudeck atrophy
Sympathetic reflex dystrophy
M89.1 Epiphyseal arrest
M89.2 Other disorders of bone development and growth
M89.3 Hypertrophy of bone
M89.4 Other hypertrophic osteoarthropathy
Incl.:
Marie-Bamberger disease
Pachydermoperiostosis
M89.5 Osteolysis
M89.6 Osteopathy after poliomyelitis
Coding-Hint
Use additional code (B91) , if desired, to identify previous poliomyelitis.
Excl.:
postpolio syndrome (G14)
M89.8 Other specified disorders of bone
Incl.:
Infantile cortical hyperostoses
Post-traumatic subperiosteal ossification
M89.9 Disorder of bone, unspecified

M90* Osteopathies in diseases classified elsewhere

M90.0* Tuberculosis of bone (A18.0†)
Excl.:
tuberculosis of spine (M49.0*)
M90.1* Periostitis in other infectious diseases classified elsewhere
Incl.:
Secondary syphilitic periostitis (A51.4†)
M90.2* Osteopathy in other infectious diseases classified elsewhere
Incl.:
Osteomyelitis:
Syphilitic osteopathy or osteochondropathy (A50.5†, A52.7†)
M90.3* Osteonecrosis in caisson disease (T70.3†)
M90.4* Osteonecrosis due to haemoglobinopathy (D50-D64†)
M90.5* Osteonecrosis in other diseases classified elsewhere
M90.6* Osteitis deformans in neoplastic disease (C00-D48†)
Incl.:
Osteitis deformans in malignant neoplasm of bone (C40-C41†)
M90.7* Fracture of bone in neoplastic disease (C00-D48†)
Excl.:
collapse of vertebra in neoplastic disease (M49.5*)
M90.8* Osteopathy in other diseases classified elsewhere
Incl.:
Osteopathy in renal osteodystrophy (N25.0†)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

Chondropathies
(M91-M94)

Excl.:
postprocedural chondropathies (M96.-)

M91 Juvenile osteochondrosis of hip and pelvis

Excl.:
slipped upper femoral epiphysis (nontraumatic) (M93.0)
M91.0 Juvenile osteochondrosis of pelvis
Incl.:
Osteochondrosis (juvenile) of:
  • acetabulum
  • iliac crest [Buchanan]
  • ischiopubic synchondrosis [van Neck]
  • symphisis pubis [Pierson]
M91.1 Juvenile osteochondrosis of head of femur [Legg-Calvé-Perthes]
M91.2 Coxa plana
Incl.:
Hip deformity due to previous juvenile osteochondrosis
M91.3 Pseudocoxalgia
M91.8 Other juvenile osteochondrosis of hip and pelvis
Incl.:
Juvenile osteochondrosis after reduction of congenital dislocation of hip
M91.9 Juvenile osteochondrosis of hip and pelvis, unspecified

M92 Other juvenile osteochondrosis

M92.0 Juvenile osteochondrosis of humerus
Incl.:
Osteochondrosis (juvenile) of:
  • capitulum of humerus [Panner]
  • head of humerus [Haas]
M92.1 Juvenile osteochondrosis of radius and ulna
Incl.:
Osteochondrosis (juvenile) of:
  • lower ulna [Burns]
  • radial head [Brailsford]
M92.2 Juvenile osteochondrosis of hand
Incl.:
Osteochondrosis (juvenile) of:
  • carpal lunate [Kienböck]
  • metacarpal heads [Mauclaire]
M92.3 Other juvenile osteochondrosis of upper limb
M92.4 Juvenile osteochondrosis of patella
Incl.:
Osteochondrosis (juvenile) of:
  • primary patellar centre [Köhler]
  • secondary patellar centre [Sinding-Larsen]
M92.5 Juvenile osteochondrosis of tibia and fibula
Incl.:
Osteochondrosis (juvenile) of:
  • proximal tibia [Blount]
  • tibial tubercle [Osgood-Schlatter]
Tibia vara
M92.6 Juvenile osteochondrosis of tarsus
Incl.:
Osteochondrosis (juvenile) of:
  • calcaneum [Sever]
  • os tibiale externum [Haglund]
  • talus [Diaz]
  • tarsal navicular [Köhler]
M92.7 Juvenile osteochondrosis of metatarsus
Incl.:
Osteochondrosis (juvenile) of:
  • fifth metatarsus [Iselin]
  • second metatarsus [Freiberg]
M92.8 Other specified juvenile osteochondrosis
Incl.:
Calcaneal apophysitis
M92.9 Juvenile osteochondrosis, unspecified
Incl.:
  • Apophysitis
  • Epiphysitis
  • Osteochondritis
  • Osteochondrosis
  • specified as juvenile, of unspecified site

M93 Other osteochondropathies

Excl.:
osteochondrosis of spine (M42.-)
M93.0 Slipped upper femoral epiphysis (nontraumatic)
M93.1 Kienböck disease of adults
Incl.:
Adult osteochondrosis of carpal lunate
M93.2 Osteochondritis dissecans
M93.8 Other specified osteochondropathies
M93.9 Osteochondropathy, unspecified
Incl.:
  • Apophysitis
  • Epiphysitis
  • Osteochondritis
  • Osteochondrosis
  • not specified as adult or juvenile, of unspecified site

M94 Other disorders of cartilage

M94.0 Chondrocostal junction syndrome [Tietze]
Incl.:
Costochondritis
M94.1 Relapsing polychondritis
M94.2 Chondromalacia
Excl.:
chondromalacia patellae (M22.4)
M94.3 Chondrolysis
M94.8 Other specified disorders of cartilage
M94.9 Disorder of cartilage, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

M95 Other acquired deformities of musculoskeletal system and connective tissue

Excl.:
acquired:
  • absence of limbs and organs (Z89-Z90)
  • deformities of limbs (M20-M21)
congenital malformations and deformations of the musculoskeletal system (Q65-Q79)
deforming dorsopathies (M40-M43)
dentofacial anomalies [including malocclusion] (K07.-)
postprocedural musculoskeletal disorders (M96.-)
M95.0 Acquired deformity of nose
Excl.:
deviated nasal septum (J34.2)
M95.1 Cauliflower ear
Excl.:
other acquired deformities of ear (H61.1)
M95.2 Other acquired deformity of head
M95.3 Acquired deformity of neck
M95.4 Acquired deformity of chest and rib
M95.5 Acquired deformity of pelvis
Excl.:
maternal care for known or suspected disproportion (O33.-)
M95.8 Other specified acquired deformities of musculoskeletal system
M95.9 Acquired deformity of musculoskeletal system, unspecified

M96 Postprocedural musculoskeletal disorders, not elsewhere classified

Excl.:
arthropathy following intestinal bypass (M02.0)
disorders associated with osteoporosis (M80-M81)
presence of functional implants and other devices (Z95-Z97)
M96.0 Pseudarthrosis after fusion or arthrodesis
M96.1 Postlaminectomy syndrome, not elsewhere classified
M96.2 Postradiation kyphosis
M96.3 Postlaminectomy kyphosis
M96.4 Postsurgical lordosis
M96.5 Postradiation scoliosis
M96.6 Fracture of bone following insertion of orthopaedic implant, joint prosthesis, or bone plate
Excl.:
complication of internal orthopaedic devices, implants or grafts (T84.-)
M96.8 Other postprocedural musculoskeletal disorders
Incl.:
Instability of joint secondary to removal of joint prosthesis
M96.9 Postprocedural musculoskeletal disorder, unspecified

M99 Biomechanical lesions, not elsewhere classified

Note:

This category should not be used if the condition can be classified elsewhere.

Modifiers

The following supplementary subclassification to indicate the site of lesions is provided for optional use with appropriate subcategories in M99.-; see also note at the beginning of this chapter.

Code Title
0
Head region
Incl.:
occipitocervical
1
Cervical region
Incl.:
cervicothoracic
2
Thoracic region
Incl.:
thoracolumbar
3
Lumbar region
Incl.:
lumbosacral
4
Sacral region
Incl.:
sacrococcygeal
sacroiliac
5
Pelvic region
Incl.:
hip
pubic
6
Lower extremity
7
Upper extremity
Incl.:
acromioclavicular
sternoclavicular
8
Rib cage
Incl.:
costochondral
costovertebral
sternochondral
9
Abdomen and other
M99.0 Segmental and somatic dysfunction
M99.1 Subluxation complex (vertebral)
M99.2 Subluxation stenosis of neural canal
M99.3 Osseous stenosis of neural canal
M99.4 Connective tissue stenosis of neural canal
M99.5 Intervertebral disc stenosis of neural canal
M99.6 Osseous and subluxation stenosis of intervertebral foramina
M99.7 Connective tissue and disc stenosis of intervertebral foramina
M99.8 Other biomechanical lesions
M99.9 Biomechanical lesion, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIV
Diseases of the genitourinary system
(N00-N99)

Glomerular diseases
(N00-N08)

Coding-Hint
Use additional code, if desired, to identify associated chronic kidney disease (N18.-) .
Use additional code, if desired, to identify external cause (Chapter XX) or presence of renal failure, Acute (N17.-) or Unspecified (N19) .
Excl.:
hypertensive renal disease (I12.-)
Modifiers

The following fourth-character subdivisions classify morphological changes and are for use with categories N00-N07. Subdivisions .0-.8 should not normally be used unless these have been specifically identified (e.g. by renal biopsy or autopsy). The three-character categories relate to clinical syndromes.

Code Title
.0
Minor glomerular abnormality
Incl.:
Minimal change lesion
.1
Focal and segmental glomerular lesions
Incl.:
Focal and segmental:
  • hyalinosis
  • sclerosis
Focal glomerulonephritis
.2
Diffuse membranous glomerulonephritis
.3
Diffuse mesangial proliferative glomerulonephritis
.4
Diffuse endocapillary proliferative glomerulonephritis
.5
Diffuse mesangiocapillary glomerulonephritis
Incl.:
Membranoproliferative glomerulonephritis, types 1 and 3, or NOS
.6
Dense deposit disease
Incl.:
Membranoproliferative glomerulonephritis, type 2
.7
Diffuse crescentic glomerulonephritis
Incl.:
Extracapillary glomerulonephritis
.8
Other
Incl.:
Proliferative glomerulonephritis NOS
.9
Unspecified

N00 Acute nephritic syndrome

Incl.:
acute:
  • glomerular disease
  • glomerulonephritis
  • nephritis
  • renal disease NOS
Excl.:
acute infectious tubulo-interstitial nephritis (N10)
nephritic syndrome NOS (N05.-)

N01 Rapidly progressive nephritic syndrome

Incl.:
rapidly progressive:
  • glomerular disease
  • glomerulonephritis
  • nephritis
Excl.:
nephritic syndrome NOS (N05.-)

N02 Recurrent and persistent haematuria

Incl.:
haematuria:
  • benign (familial)(of childhood)
  • with morphological lesion specified in .0-.8 before N00.-
Excl.:
haematuria NOS (R31)

N03 Chronic nephritic syndrome

Incl.:
chronic:
  • glomerular disease
  • glomerulonephritis
  • nephritis
Excl.:
chronic tubulo-interstitial nephritis (N11.-)
diffuse sclerosing glomerulonephritis (N18.-)
nephritic syndrome NOS (N05.-)

N04 Nephrotic syndrome

Incl.:
congenital nephrotic syndrome
lipoid nephrosis

N05 Unspecified nephritic syndrome

Incl.:
  • glomerular disease
  • glomerulonephritis
  • nephritis
  • NOS
nephropathy NOS and renal disease NOS with morphological lesion specified in .0-.8 before N00.-
Excl.:
nephropathy NOS with no stated morphological lesion (N28.9)
renal disease NOS with no stated morphological lesion (N28.9)
tubulo-interstitial nephritis NOS (N12)

N06 Isolated proteinuria with specified morphological lesion

Incl.:
proteinuria (isolated)(orthostatic)(persistent) with morphological lesion specified in .0-.8 before N00.-
Excl.:
proteinuria:

N07 Hereditary nephropathy, not elsewhere classified

Excl.:
Alport syndrome (Q87.8)
hereditary amyloid nephropathy (E85.0)
nail patella syndrome (Q87.2)
non-neuropathic heredofamilial amyloidosis (E85.0)

N08* Glomerular disorders in diseases classified elsewhere

Incl.:
nephropathy in diseases classified elsewhere
Excl.:
renal tubulo-interstitial disorders in diseases classified elsewhere (N16.-*)
N08.0* Glomerular disorders in infectious and parasitic diseases classified elsewhere
Incl.:
Glomerular disorders in:
N08.1* Glomerular disorders in neoplastic diseases
Incl.:
Glomerular disorders in:
N08.2* Glomerular disorders in blood diseases and disorders involving the immune mechanism
Incl.:
Glomerular disorders in:
  • cryoglobulinaemia (D89.1†)
  • disseminated intravascular coagulation [defibrination syndrome] (D65†)
  • haemolytic-uraemic syndrome (D59.3†)
  • Henoch(-Schönlein) purpura (D69.0†)
  • sickle-cell disorders (D57.-†)
N08.3* Glomerular disorders in diabetes mellitus (E10-E14 with common fourth character .2†)
N08.4* Glomerular disorders in other endocrine, nutritional and metabolic diseases
Incl.:
Glomerular disorders in:
N08.5* Glomerular disorders in systemic connective tissue disorders
Incl.:
Glomerular disorders in:
N08.8* Glomerular disorders in other diseases classified elsewhere
Incl.:
Glomerular disorders in subacute bacterial endocarditis (I33.0†)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIV
Diseases of the genitourinary system
(N00-N99)

Renal tubulo-interstitial diseases
(N10-N16)

Incl.:
pyelonephritis
Coding-Hint
Use additional code, if desired, to identify associated chronic kidney disease (N18.-) .
Excl.:
pyeloureteritis cystica (N28.8)

N10 Acute tubulo-interstitial nephritis

Incl.:
Acute:
  • infectious interstitial nephritis
  • pyelitis
  • pyelonephritis
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.

N11 Chronic tubulo-interstitial nephritis

Incl.:
chronic:
  • infectious interstitial nephritis
  • pyelitis
  • pyelonephritis
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
N11.0 Nonobstructive reflux-associated chronic pyelonephritis
Incl.:
Pyelonephritis (chronic) associated with (vesicoureteral) reflux
Excl.:
vesicoureteral reflux NOS (N13.7)
N11.1 Chronic obstructive pyelonephritis
Incl.:
  • Pyelonephritis (chronic) associated with:
    • anomaly
    • kinking
    • obstruction
    • stricture
  • of
  • pelviureteric junction
  • pyeloureteric junction
  • ureter
Excl.:
calculous pyelonephritis (N20.9)
obstructive uropathy (N13.-)
N11.8 Other chronic tubulo-interstitial nephritis
Incl.:
Nonobstructive chronic pyelonephritis NOS
N11.9 Chronic tubulo-interstitial nephritis, unspecified
Incl.:
Chronic:
  • interstitial nephritis NOS
  • pyelitis NOS
  • pyelonephritis NOS

N12 Tubulo-interstitial nephritis, not specified as acute or chronic

Incl.:
Interstitial nephritis NOS
Pyelitis NOS
Pyelonephritis NOS
Excl.:
calculous pyelonephritis (N20.9)

N13 Obstructive and reflux uropathy

Excl.:
calculus of kidney and ureter without hydronephrosis (N20.-)
congenital obstructive defects of renal pelvis and ureter (Q62.0-Q62.3)
obstructive pyelonephritis (N11.1)
N13.0 Hydronephrosis with ureteropelvic junction obstruction
Excl.:
with infection (N13.6)
N13.1 Hydronephrosis with ureteral stricture, not elsewhere classified
Excl.:
with infection (N13.6)
N13.2 Hydronephrosis with renal and ureteral calculous obstruction
Excl.:
with infection (N13.6)
N13.3 Other and unspecified hydronephrosis
Excl.:
with infection (N13.6)
N13.4 Hydroureter
Excl.:
with infection (N13.6)
N13.5 Kinking and stricture of ureter without hydronephrosis
Excl.:
with infection (N13.6)
N13.6 Pyonephrosis
Incl.:
Conditions in N13.0-N13.5 with infection
Obstructive uropathy with infection
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
N13.7 Vesicoureteral-reflux-associated uropathy
Incl.:
Vesicoureteral reflux:
  • NOS
  • with scarring
Excl.:
reflux-associated pyelonephritis (N11.0)
N13.8 Other obstructive and reflux uropathy
N13.9 Obstructive and reflux uropathy, unspecified
Incl.:
Urinary tract obstruction NOS

N14 Drug- and heavy-metal-induced tubulo-interstitial and tubular conditions

Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify toxic agent.
N14.0 Analgesic nephropathy
N14.1 Nephropathy induced by other drugs, medicaments and biological substances
N14.2 Nephropathy induced by unspecified drug, medicament or biological substance
N14.3 Nephropathy induced by heavy metals
N14.4 Toxic nephropathy, not elsewhere classified

N15 Other renal tubulo-interstitial diseases

N15.0 Balkan nephropathy
Incl.:
Balkan endemic nephropathy
N15.1 Renal and perinephric abscess
N15.8 Other specified renal tubulo-interstitial diseases
N15.9 Renal tubulo-interstitial disease, unspecified
Incl.:
Infection of kidney NOS
Excl.:
urinary tract infection NOS (N39.0)

N16* Renal tubulo-interstitial disorders in diseases classified elsewhere

N16.0* Renal tubulo-interstitial disorders in infectious and parasitic diseases classified elsewhere
Incl.:
Renal tubulo-interstitial disorders (due to)(in):
N16.1* Renal tubulo-interstitial disorders in neoplastic diseases
Incl.:
Renal tubulo-interstitial disorders in:
N16.2* Renal tubulo-interstitial disorders in blood diseases and disorders involving the immune mechanism
Incl.:
Renal tubulo-interstitial disorders in:
N16.3* Renal tubulo-interstitial disorders in metabolic diseases
Incl.:
Renal tubulo-interstitial disorders in:
N16.4* Renal tubulo-interstitial disorders in systemic connective tissue disorders
Incl.:
Renal tubulo-interstitial disorders in:
N16.5* Renal tubulo-interstitial disorders in transplant rejection (T86.-†)
N16.8* Renal tubulo-interstitial disorders in other diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIV
Diseases of the genitourinary system
(N00-N99)

Renal failure
(N17-N19)

Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify external agent.
Excl.:
congenital renal failure (P96.0)
drug- and heavy-metal-induced tubulo-interstitial and tubular conditions (N14.-)
extrarenal uraemia (R39.2)
haemolytic-uraemic syndrome (D59.3)
hepatorenal syndrome (K76.7)
hepatorenal syndrome
prerenal uraemia (R39.2)
renal failure:
  • complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
  • following labour and delivery (O90.4)
  • postprocedural (N99.0)

N17 Acute renal failure

Incl.:
acute renal impairment
N17.0 Acute renal failure with tubular necrosis
Incl.:
Tubular necrosis:
  • NOS
  • acute
  • renal
N17.1 Acute renal failure with acute cortical necrosis
Incl.:
Cortical necrosis:
  • NOS
  • acute
  • renal
N17.2 Acute renal failure with medullary necrosis
Incl.:
Medullary [papillary] necrosis:
  • NOS
  • acute
  • renal
N17.8 Other acute renal failure
N17.9 Acute renal failure, unspecified

N18 Chronic kidney disease

Incl.:
chronic renal failure
Coding-Hint
Use additional code, if desired, to identify underlying disease.
Use additional code, if desired, to identify presence of hypertension.
N18.1 Chronic kidney disease, stage 1
Definition
Kidney damage with normal or increased GFR (≥ 90 mL/min)
N18.2 Chronic kidney disease, stage 2
Definition
Kidney damage with mild decreased GFR (60-89 mL/min)
N18.3 Chronic kidney disease, stage 3
Definition
Kidney damage with moderately decreased GFR (30-59 mL/min)
N18.4 Chronic kidney disease, stage 4
Definition
Kidney damage with severely decreased GFR (15-29 mL/min)
N18.5 Chronic kidney disease, stage 5
Incl.:
End stage kidney disease:
  • in allograft failure
  • NOS
  • on dialysis
  • without dialysis or transplant
Renal retinitis (H32.8*)
Uraemic:
N18.9 Chronic kidney disease, unspecified
Incl.:
Chronic renal impairment
Chronic uraemia NOS
Diffuse sclerosing glomerulonephritis NOS

N19 Unspecified kidney failure

Incl.:
Renal insufficiency NOS
Uraemia NOS
Excl.:
kidney failure due to hypertension (I12.0)
uraemia of newborn (P96.0)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIV
Diseases of the genitourinary system
(N00-N99)

N20 Calculus of kidney and ureter

Incl.:
calculous pyelonephritis
Excl.:
with hydronephrosis (N13.2)
N20.0 Calculus of kidney
Incl.:
Nephrolithiasis NOS
Renal calculus or stone
Staghorn calculus
Stone in kidney
N20.1 Calculus of ureter
Incl.:
Ureteric stone
N20.2 Calculus of kidney with calculus of ureter
N20.9 Urinary calculus, unspecified

N21 Calculus of lower urinary tract

Incl.:
with cystitis and urethritis
N21.0 Calculus in bladder
Incl.:
Calculus in diverticulum of bladder
Urinary bladder stone
Excl.:
staghorn calculus (N20.0)
N21.1 Calculus in urethra
N21.8 Other lower urinary tract calculus
N21.9 Calculus of lower urinary tract, unspecified

N22* Calculus of urinary tract in diseases classified elsewhere

N22.0* Urinary calculus in schistosomiasis [bilharziasis] (B65.-†)
N22.8* Calculus of urinary tract in other diseases classified elsewhere

N23 Unspecified renal colic

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIV
Diseases of the genitourinary system
(N00-N99)

N25 Disorders resulting from impaired renal tubular function

Excl.:
metabolic disorders classifiable to E70-E90
N25.0 Renal osteodystrophy
Incl.:
Azotaemic osteodystrophy
Phosphate-losing tubular disorders
Renal:
  • rickets
  • short stature
N25.1 Nephrogenic diabetes insipidus
N25.8 Other disorders resulting from impaired renal tubular function
Incl.:
Lightwood-Albright syndrome
Renal tubular acidosis NOS
Secondary hyperparathyroidism of renal origin
N25.9 Disorder resulting from impaired renal tubular function, unspecified

N26 Unspecified contracted kidney

Incl.:
Atrophy of kidney (terminal)
Renal sclerosis NOS
Excl.:
contracted kidney due to hypertension (I12.-)
diffuse sclerosing glomerulonephritis (N18.-)
hypertensive nephrosclerosis (arteriolar)(arteriosclerotic) (I12.-)
small kidney of unknown cause (N27.-)

N27 Small kidney of unknown cause

N27.0 Small kidney, unilateral
N27.1 Small kidney, bilateral
N27.9 Small kidney, unspecified

N28 Other disorders of kidney and ureter, not elsewhere classified

Excl.:
hydroureter (N13.4)
renal disease:
  • acute NOS (N00.9)
  • chronic NOS (N03.9)
ureteric kinking and stricture:
  • with hydronephrosis (N13.1)
  • without hydronephrosis (N13.5)
N28.0 Ischaemia and infarction of kidney
Incl.:
Renal artery:
  • embolism
  • obstruction
  • occlusion
  • thrombosis
Renal infarct
Excl.:
Goldblatt kidney (I70.1)
renal artery (extrarenal part):
  • atherosclerosis (I70.1)
  • congenital stenosis (Q27.1)
N28.1 Cyst of kidney
Incl.:
Cyst (acquired)(multiple)(solitary) of kidney
Excl.:
cystic kidney disease (congenital) (Q61.-)
N28.8 Other specified disorders of kidney and ureter
Incl.:
Hypertrophy of kidney
Megaloureter
Nephroptosis
  • Pyelitis
  • Pyeloureteritis
  • Ureteritis
  • cystica
Ureterocele
N28.9 Disorder of kidney and ureter, unspecified
Incl.:
Nephropathy NOS
Renal disease NOS
Excl.:
nephropathy NOS and renal disease NOS with morphological lesion specified in .0-.8 before N00.- (N05.-)

N29* Other disorders of kidney and ureter in diseases classified elsewhere

N29.0* Late syphilis of kidney (A52.7†)
N29.1* Other disorders of kidney and ureter in infectious and parasitic diseases classified elsewhere
Incl.:
Disorders of kidney and ureter in:
N29.8* Other disorders of kidney and ureter in other diseases classified elsewhere
Incl.:
Cystine storage disease (E72.0†)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIV
Diseases of the genitourinary system
(N00-N99)

Other diseases of urinary system
(N30-N39)

Excl.:
urinary infection (complicating):

N30 Cystitis

Coding-Hint
Use additional code, if desired, to identify infectious agent (B95-B98) or responsible external agent (Chapter XX).
Excl.:
prostatocystitis (N41.3)
N30.0 Acute cystitis
Excl.:
irradiation cystitis (N30.4)
trigonitis (N30.3)
N30.1 Interstitial cystitis (chronic)
N30.2 Other chronic cystitis
N30.3 Trigonitis
Incl.:
Urethrotrigonitis
N30.4 Irradiation cystitis
N30.8 Other cystitis
Incl.:
Abscess of bladder
N30.9 Cystitis, unspecified

N31 Neuromuscular dysfunction of bladder, not elsewhere classified

Excl.:
cord bladder NOS (G95.8)
due to spinal cord lesion (G95.8)
neurogenic bladder due to cauda equina syndrome (G83.4)
urinary incontinence:
N31.0 Uninhibited neuropathic bladder, not elsewhere classified
N31.1 Reflex neuropathic bladder, not elsewhere classified
N31.2 Flaccid neuropathic bladder, not elsewhere classified
Incl.:
Neuropathic bladder:
  • atonic (motor)(sensory)
  • autonomous
  • nonreflex
N31.8 Other neuromuscular dysfunction of bladder
N31.9 Neuromuscular dysfunction of bladder, unspecified
Incl.:
Neurogenic bladder dysfunction NOS

N32 Other disorders of bladder

Excl.:
calculus in bladder (N21.0)
cystocele (N81.1)
hernia or prolapse of bladder, female (N81.1)
N32.0 Bladder-neck obstruction
Incl.:
Bladder-neck stenosis (acquired)
N32.1 Vesicointestinal fistula
Incl.:
Vesicorectal fistula
N32.2 Vesical fistula, not elsewhere classified
Excl.:
fistula between bladder and female genital tract (N82.0-N82.1)
N32.3 Diverticulum of bladder
Incl.:
Diverticulitis of bladder
Excl.:
calculus in diverticulum of bladder (N21.0)
N32.4 Rupture of bladder, nontraumatic
N32.8 Other specified disorders of bladder
Incl.:
Bladder:
  • calcified
  • contracted
  • overactive
N32.9 Bladder disorder, unspecified

N33* Bladder disorders in diseases classified elsewhere

N33.0* Tuberculous cystitis (A18.1†)
N33.8* Bladder disorders in other diseases classified elsewhere
Incl.:
Bladder disorder in schistosomiasis [bilharziasis] (B65.-†)

N34 Urethritis and urethral syndrome

Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
Excl.:
Reiter disease (M02.3)
urethritis in diseases with a predominantly sexual mode of transmission (A50-A64)
urethrotrigonitis (N30.3)
N34.0 Urethral abscess
Incl.:
Abscess (of):
  • Cowper gland
  • Littré gland
  • periurethral
  • urethral (gland)
Excl.:
urethral caruncle (N36.2)
N34.1 Nonspecific urethritis
Incl.:
Urethritis:
  • nongonococcal
  • nonvenereal
N34.2 Other urethritis
Incl.:
Meatitis, urethral
Ulcer of urethra (meatus)
Urethritis:
  • NOS
  • postmenopausal
N34.3 Urethral syndrome, unspecified

N35 Urethral stricture

Excl.:
postprocedural urethral stricture (N99.1)
N35.0 Post-traumatic urethral stricture
Incl.:
Stricture of urethra as a sequela of:
  • childbirth
  • injury
N35.1 Postinfective urethral stricture, not elsewhere classified
N35.8 Other urethral stricture
N35.9 Urethral stricture, unspecified
Incl.:
Pinhole meatus NOS

N36 Other disorders of urethra

N36.0 Urethral fistula
Incl.:
False urethral passage
Fistula:
  • urethroperineal
  • urethrorectal
  • urinary NOS
Excl.:
fistula:
N36.1 Urethral diverticulum
N36.2 Urethral caruncle
N36.3 Prolapsed urethral mucosa
Incl.:
Prolapse of urethra
Urethrocele, male
Excl.:
urethrocele:
N36.8 Other specified disorders of urethra
N36.9 Urethral disorder, unspecified

N37* Urethral disorders in diseases classified elsewhere

N37.0* Urethritis in diseases classified elsewhere
Incl.:
Candidal urethritis (B37.4†)
N37.8* Other urethral disorders in diseases classified elsewhere

N39 Other disorders of urinary system

Excl.:
haematuria:
  • NOS (R31)
  • recurrent and persistent (N02.-)
  • with specified morphological lesion (N02.-)
proteinuria NOS (R80)
N39.0 Urinary tract infection, site not specified
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
N39.1 Persistent proteinuria, unspecified
Excl.:
complicating pregnancy, childbirth and the puerperium (O11-O15)
with specified morphological lesion (N06.-)
N39.2 Orthostatic proteinuria, unspecified
Excl.:
with specified morphological lesion (N06.-)
N39.3 Stress incontinence
Coding-Hint
Use additional code (N32.8), if desired, to identify overactive bladder or detrusor muscle hyperactivity.
N39.4 Other specified urinary incontinence
Incl.:
  • Overflow
  • Reflex
  • Urge
  • incontinence
Coding-Hint
Use additional code (N32.8), if desired, to identify overactive bladder or detrusor muscle hyperactivity.
Excl.:
enuresis NOS (R32)
urinary incontinence (of):
N39.8 Other specified disorders of urinary system
N39.9 Disorder of urinary system, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIV
Diseases of the genitourinary system
(N00-N99)

N40 Hyperplasia of prostate

Incl.:
  • Adenofibromatous hypertrophy
  • Enlargement (benign)
  • Hypertrophy (benign)
  • of prostate
Median bar (prostate)
Prostatic obstruction NOS
Excl.:
benign neoplasms of prostate (D29.1)

N41 Inflammatory diseases of prostate

Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
N41.0 Acute prostatitis
N41.1 Chronic prostatitis
N41.2 Abscess of prostate
N41.3 Prostatocystitis
N41.8 Other inflammatory diseases of prostate
N41.9 Inflammatory disease of prostate, unspecified
Incl.:
Prostatitis NOS

N42 Other disorders of prostate

N42.0 Calculus of prostate
Incl.:
Prostatic stone
N42.1 Congestion and haemorrhage of prostate
N42.2 Atrophy of prostate
N42.3 Dysplasia of prostate
Incl.:
Low grade dysplasia
Excl.:
high grade dysplasia of prostate (D07.5)
N42.8 Other specified disorders of prostate
N42.9 Disorder of prostate, unspecified

N43 Hydrocele and spermatocele

Incl.:
hydrocele of spermatic cord, testis or tunica vaginalis
Excl.:
congenital hydrocele (P83.5)
N43.0 Encysted hydrocele
N43.1 Infected hydrocele
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
N43.2 Other hydrocele
N43.3 Hydrocele, unspecified
N43.4 Spermatocele

N44 Torsion of testis

Incl.:
Torsion of:
  • epididymis
  • spermatic cord
  • testicle

N45 Orchitis and epididymitis

Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
N45.0 Orchitis, epididymitis and epididymo-orchitis with abscess
Incl.:
Abscess of epididymis or testis
N45.9 Orchitis, epididymitis and epididymo-orchitis without abscess
Incl.:
Epididymitis NOS
Orchitis NOS

N46 Male infertility

Incl.:
Azoospermia NOS
Oligospermia NOS

N47 Redundant prepuce, phimosis and paraphimosis

Incl.:
Adherent prepuce
Tight foreskin

N48 Other disorders of penis

N48.0 Leukoplakia of penis
Incl.:
Balanitis xerotica obliterans
Kraurosis of penis
Excl.:
carcinoma in situ of penis (D07.4)
N48.1 Balanoposthitis
Incl.:
Balanitis
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
N48.2 Other inflammatory disorders of penis
Incl.:
  • Abscess
  • Boil
  • Carbuncle
  • Cellulitis
  • of corpus cavernosum and penis
Cavernitis (penis)
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
N48.3 Priapism
Incl.:
Painful erection
N48.4 Impotence of organic origin
Coding-Hint
Use additional code, if desired, to identify cause.
Excl.:
psychogenic impotence (F52.2)
N48.5 Ulcer of penis
N48.6 Induratio penis plastica
Incl.:
Peyronie disease
Plastic induration of penis
N48.8 Other specified disorders of penis
Incl.:
  • Atrophy
  • Hypertrophy
  • Thrombosis
  • of corpus cavernosum and penis
N48.9 Disorder of penis, unspecified

N49 Inflammatory disorders of male genital organs, not elsewhere classified

Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
Excl.:
inflammation of penis (N48.1-N48.2)
orchitis and epididymitis (N45.-)
N49.0 Inflammatory disorders of seminal vesicle
Incl.:
Vesiculitis NOS
N49.1 Inflammatory disorders of spermatic cord, tunica vaginalis and vas deferens
Incl.:
Vasitis
N49.2 Inflammatory disorders of scrotum
N49.8 Inflammatory disorders of other specified male genital organs
Incl.:
Inflammation of multiple sites in male genital organs
N49.9 Inflammatory disorder of unspecified male genital organ
Incl.:
  • Abscess
  • Boil
  • Carbuncle
  • Cellulitis
  • of unspecified male genital organ

N50 Other disorders of male genital organs

Excl.:
torsion of testis (N44)
N50.0 Atrophy of testis
N50.1 Vascular disorders of male genital organs
Incl.:
  • Haematocele NOS
  • Haemorrhage
  • Thrombosis
  • of male genital organs
N50.8 Other specified disorders of male genital organs
Incl.:
  • Atrophy
  • Hypertrophy
  • Oedema
  • Ulcer
  • of scrotum, seminal vesicle, spermatic cord, testis [except atrophy], tunica vaginalis and vas deferens
Chylocele, tunica vaginalis (nonfilarial) NOS
Fistula, urethroscrotal
Stricture of:
  • spermatic cord
  • tunica vaginalis
  • vas deferens
N50.9 Disorder of male genital organs, unspecified

N51* Disorders of male genital organs in diseases classified elsewhere

N51.0* Disorders of prostate in diseases classified elsewhere
Incl.:
Prostatitis:
N51.1* Disorders of testis and epididymis in diseases classified elsewhere
Incl.:
Chlamydial:
Gonococcal:
Mumps orchitis (B26.0†)
Tuberculosis of:
N51.2* Balanitis in diseases classified elsewhere
Incl.:
Balanitis:
N51.8* Other disorders of male genital organs in diseases classified elsewhere
Incl.:
Filarial chylocele, tunica vaginalis (B74.-†)
Herpesviral [herpes simplex] infection of male genital tract (A60.0†)
Tuberculosis of seminal vesicle (A18.1†)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIV
Diseases of the genitourinary system
(N00-N99)

Disorders of breast
(N60-N64)

Excl.:
disorders of breast associated with childbirth (O91-O92)

N60 Benign mammary dysplasia

Incl.:
fibrocystic mastopathy
N60.0 Solitary cyst of breast
Incl.:
Cyst of breast
N60.1 Diffuse cystic mastopathy
Incl.:
Cystic breast
Excl.:
with epithelial proliferation (N60.3)
N60.2 Fibroadenosis of breast
Excl.:
fibroadenoma of breast (D24)
N60.3 Fibrosclerosis of breast
Incl.:
Cystic mastopathy with epithelial proliferation
N60.4 Mammary duct ectasia
N60.8 Other benign mammary dysplasias
N60.9 Benign mammary dysplasia, unspecified

N61 Inflammatory disorders of breast

Incl.:
Abscess (acute)(chronic)(nonpuerperal) of:
  • areola
  • breast
Carbuncle of breast
Mastitis (acute)(subacute)(nonpuerperal):
  • NOS
  • infective
Excl.:
neonatal infective mastitis (P39.0)

N62 Hypertrophy of breast

Incl.:
Gynaecomastia
Hypertrophy of breast:
  • NOS
  • massive pubertal

N63 Unspecified lump in breast

Incl.:
Nodule(s) NOS in breast

N64 Other disorders of breast

N64.0 Fissure and fistula of nipple
N64.1 Fat necrosis of breast
Incl.:
Fat necrosis (segmental) of breast
N64.2 Atrophy of breast
N64.3 Galactorrhoea not associated with childbirth
N64.4 Mastodynia
N64.5 Other signs and symptoms in breast
Incl.:
Induration of breast
Nipple discharge
Retraction of nipple
N64.8 Other specified disorders of breast
Incl.:
Galactocele
Subinvolution of breast (postlactational)
N64.9 Disorder of breast, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIV
Diseases of the genitourinary system
(N00-N99)

Inflammatory diseases of female pelvic organs
(N70-N77)

Excl.:
those complicating:

N70 Salpingitis and oophoritis

Incl.:
abscess (of):
  • fallopian tube
  • ovary
  • tubo-ovarian
pyosalpinx
salpingo-oophoritis
tubo-ovarian inflammatory disease
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
N70.0 Acute salpingitis and oophoritis
N70.1 Chronic salpingitis and oophoritis
Incl.:
Hydrosalpinx
N70.9 Salpingitis and oophoritis, unspecified

N71 Inflammatory disease of uterus, except cervix

Incl.:
endo(myo)metritis
metritis
myometritis
pyometra
uterine abscess
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
N71.0 Acute inflammatory disease of uterus
N71.1 Chronic inflammatory disease of uterus
N71.9 Inflammatory disease of uterus, unspecified

N72 Inflammatory disease of cervix uteri

Incl.:
  • Cervicitis
  • Endocervicitis
  • Exocervicitis
  • with or without erosion or ectropion
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
Excl.:
erosion and ectropion of cervix without cervicitis (N86)

N73 Other female pelvic inflammatory diseases

Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
N73.0 Acute parametritis and pelvic cellulitis
Incl.:
  • Abscess of:
    • broad ligament
    • parametrium
  • Pelvic cellulitis, female
  • specified as acute
N73.1 Chronic parametritis and pelvic cellulitis
Incl.:
Any condition in N73.0 specified as chronic
N73.2 Unspecified parametritis and pelvic cellulitis
Incl.:
Any condition in N73.0 unspecified whether acute or chronic
N73.3 Female acute pelvic peritonitis
N73.4 Female chronic pelvic peritonitis
N73.5 Female pelvic peritonitis, unspecified
N73.6 Female pelvic peritoneal adhesions
Excl.:
postprocedural pelvic peritoneal adhesions (N99.4)
N73.8 Other specified female pelvic inflammatory diseases
N73.9 Female pelvic inflammatory disease, unspecified
Incl.:
Female pelvic infection or inflammation NOS

N74* Female pelvic inflammatory disorders in diseases classified elsewhere

N74.0* Tuberculous infection of cervix uteri (A18.1†)
N74.1* Female tuberculous pelvic inflammatory disease (A18.1†)
Incl.:
Tuberculous endometritis
N74.2* Female syphilitic pelvic inflammatory disease (A51.4†, A52.7†)
N74.3* Female gonococcal pelvic inflammatory disease (A54.2†)
N74.4* Female chlamydial pelvic inflammatory disease (A56.1†)
N74.8* Female pelvic inflammatory disorders in other diseases classified elsewhere

N75 Diseases of Bartholin gland

N75.0 Cyst of Bartholin gland
N75.1 Abscess of Bartholin gland
N75.8 Other diseases of Bartholin gland
Incl.:
Bartholinitis
N75.9 Disease of Bartholin gland, unspecified

N76 Other inflammation of vagina and vulva

Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
Excl.:
senile (atrophic) vaginitis (N95.2)
N76.0 Acute vaginitis
Incl.:
Vaginitis NOS
Vulvovaginitis:
  • NOS
  • acute
N76.1 Subacute and chronic vaginitis
Incl.:
Vulvovaginitis:
  • chronic
  • subacute
N76.2 Acute vulvitis
Incl.:
Vulvitis NOS
N76.3 Subacute and chronic vulvitis
N76.4 Abscess of vulva
Incl.:
Furuncle of vulva
N76.5 Ulceration of vagina
N76.6 Ulceration of vulva
N76.8 Other specified inflammation of vagina and vulva

N77* Vulvovaginal ulceration and inflammation in diseases classified elsewhere

N77.0* Ulceration of vulva in infectious and parasitic diseases classified elsewhere
Incl.:
Ulceration of vulva in:
N77.1* Vaginitis, vulvitis and vulvovaginitis in infectious and parasitic diseases classified elsewhere
Incl.:
Vaginitis, vulvitis and vulvovaginitis in:
N77.8* Vulvovaginal ulceration and inflammation in other diseases classified elsewhere
Incl.:
Ulceration of vulva in Behçet disease (M35.2†)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIV
Diseases of the genitourinary system
(N00-N99)

N80 Endometriosis

N80.0 Endometriosis of uterus
Incl.:
Adenomyosis
N80.1 Endometriosis of ovary
N80.2 Endometriosis of fallopian tube
N80.3 Endometriosis of pelvic peritoneum
N80.4 Endometriosis of rectovaginal septum and vagina
N80.5 Endometriosis of intestine
N80.6 Endometriosis in cutaneous scar
N80.8 Other endometriosis
Incl.:
Endometriosis of thorax
N80.9 Endometriosis, unspecified

N81 Female genital prolapse

Excl.:
genital prolapse complicating pregnancy, labour or delivery (O34.5)
prolapse and hernia of ovary and fallopian tube (N83.4)
prolapse of vaginal vault after hysterectomy (N99.3)
N81.0 Female urethrocele
Excl.:
congenital (Q64.7)
urethrocele with:
N81.1 Cystocele
Incl.:
Cystocele with urethrocele
Prolapse of (anterior) vaginal (wall) NOS
Excl.:
cystocele with prolapse of uterus (N81.2-N81.4)
N81.2 Incomplete uterovaginal prolapse
Incl.:
Prolapse of cervix NOS
Uterine prolapse:
  • first degree
  • second degree
N81.3 Complete uterovaginal prolapse
Incl.:
Procidentia (uteri) NOS
Third degree uterine prolapse
N81.4 Uterovaginal prolapse, unspecified
Incl.:
Prolapse of uterus NOS
N81.5 Vaginal enterocele
Excl.:
enterocele with prolapse of uterus (N81.2-N81.4)
N81.6 Rectocele
Incl.:
Prolapse of posterior vaginal wall
Excl.:
rectal prolapse (K62.3)
rectocele with prolapse of uterus (N81.2-N81.4)
N81.8 Other female genital prolapse
Incl.:
Deficient perineum
Old laceration of muscles of pelvic floor
N81.9 Female genital prolapse, unspecified

N82 Fistulae involving female genital tract

Excl.:
vesicointestinal fistulae (N32.1)
N82.0 Vesicovaginal fistula
N82.1 Other female urinary-genital tract fistulae
Incl.:
Fistula:
  • cervicovesical
  • ureterovaginal
  • urethrovaginal
  • uteroureteric
  • uterovesical
N82.2 Fistula of vagina to small intestine
N82.3 Fistula of vagina to large intestine
Incl.:
Rectovaginal fistula
N82.4 Other female intestinal-genital tract fistulae
Incl.:
Intestinouterine fistula
N82.5 Female genital tract-skin fistulae
Incl.:
Fistula:
  • uterus to abdominal wall
  • vaginoperineal
N82.8 Other female genital tract fistulae
N82.9 Female genital tract fistula, unspecified

N83 Noninflammatory disorders of ovary, fallopian tube and broad ligament

Excl.:
hydrosalpinx (N70.1)
N83.0 Follicular cyst of ovary
Incl.:
Cyst of graafian follicle
Haemorrhagic follicular cyst (of ovary)
N83.1 Corpus luteum cyst
Incl.:
Haemorrhagic corpus luteum cyst
N83.2 Other and unspecified ovarian cysts
Incl.:
  • Retention cyst
  • Simple cyst
  • of ovary
Excl.:
ovarian cyst:
  • developmental (Q50.1)
  • neoplastic (D27)
polycystic ovarian syndrome (E28.2)
N83.3 Acquired atrophy of ovary and fallopian tube
N83.4 Prolapse and hernia of ovary and fallopian tube
N83.5 Torsion of ovary, ovarian pedicle and fallopian tube
Incl.:
Torsion:
  • accessory tube
  • hydatid of Morgagni
N83.6 Haematosalpinx
Excl.:
haematosalpinx with:
N83.7 Haematoma of broad ligament
N83.8 Other noninflammatory disorders of ovary, fallopian tube and broad ligament
Incl.:
Broad ligament laceration syndrome [Allen-Masters]
N83.9 Noninflammatory disorder of ovary, fallopian tube and broad ligament, unspecified

N84 Polyp of female genital tract

Excl.:
adenomatous polyp (D28.-)
placental polyp (O90.8)
N84.0 Polyp of corpus uteri
Incl.:
Polyp of:
  • endometrium
  • uterus NOS
Excl.:
polypoid endometrial hyperplasia (N85.0)
N84.1 Polyp of cervix uteri
Incl.:
Mucous polyp of cervix
N84.2 Polyp of vagina
N84.3 Polyp of vulva
Incl.:
Polyp of labia
N84.8 Polyp of other parts of female genital tract
N84.9 Polyp of female genital tract, unspecified

N85 Other noninflammatory disorders of uterus, except cervix

Excl.:
endometriosis (N80.-)
inflammatory diseases of uterus (N71.-)
noninflammatory disorders of cervix except malposition (N86-N88)
polyp of corpus uteri (N84.0)
uterine prolapse (N81.-)
N85.0 Endometrial glandular hyperplasia
Incl.:
Hyperplasia of endometrium:
  • NOS
  • cystic
  • glandular-cystic
  • polypoid
N85.1 Endometrial adenomatous hyperplasia
Incl.:
Hyperplasia of endometrium, atypical (adenomatous)
N85.2 Hypertrophy of uterus
Incl.:
Bulky or enlarged uterus
Excl.:
puerperal hypertrophy of uterus (O90.8)
N85.3 Subinvolution of uterus
Excl.:
puerperal subinvolution of uterus (O90.8)
N85.4 Malposition of uterus
Incl.:
  • Anteversion
  • Retroflexion
  • Retroversion
  • of uterus
Excl.:
that complicating pregnancy, labour or delivery (O34.5, O65.5)
N85.5 Inversion of uterus
Excl.:
current obstetric trauma (O71.2)
postpartum inversion of uterus (O71.2)
N85.6 Intrauterine synechiae
N85.7 Haematometra
Incl.:
Haematosalpinx with haematometra
Excl.:
haematometra with haematocolpos (N89.7)
N85.8 Other specified noninflammatory disorders of uterus
Incl.:
Atrophy of uterus, acquired
Fibrosis of uterus NOS
N85.9 Noninflammatory disorder of uterus, unspecified
Incl.:
Disorder of uterus NOS

N86 Erosion and ectropion of cervix uteri

Incl.:
  • Decubitus (trophic) ulcer
  • Eversion
  • of cervix
Excl.:
with cervicitis (N72)

N87 Dysplasia of cervix uteri

Excl.:
carcinoma in situ of cervix (D06.-)
N87.0 Mild cervical dysplasia
Incl.:
Cervical intraepithelial neoplasia [CIN], grade I
Low grade squamous intraepithelial lesion (LSIL)
N87.1 Moderate cervical dysplasia
Incl.:
Cervical intraepithelial neoplasia [CIN], grade II
N87.2 Severe cervical dysplasia, not elsewhere classified
Incl.:
Severe cervical dysplasia NOS
Excl.:
cervical intraepithelial neoplasia [CIN], grade III, with or without mention of severe dysplasia (D06.-)
N87.9 Dysplasia of cervix uteri, unspecified

N88 Other noninflammatory disorders of cervix uteri

Excl.:
inflammatory disease of cervix (N72)
polyp of cervix (N84.1)
N88.0 Leukoplakia of cervix uteri
N88.1 Old laceration of cervix uteri
Incl.:
Adhesions of cervix
Excl.:
current obstetric trauma (O71.3)
N88.2 Stricture and stenosis of cervix uteri
Excl.:
complicating labour (O65.5)
N88.3 Incompetence of cervix uteri
Incl.:
Investigation and management of (suspected) cervical incompetence in a nonpregnant woman
Excl.:
affecting fetus or newborn (P01.0)
complicating pregnancy (O34.3)
N88.4 Hypertrophic elongation of cervix uteri
N88.8 Other specified noninflammatory disorders of cervix uteri
Excl.:
current obstetric trauma (O71.3)
N88.9 Noninflammatory disorder of cervix uteri, unspecified

N89 Other noninflammatory disorders of vagina

Excl.:
carcinoma in situ of vagina (D07.2)
inflammation of vagina (N76.-)
senile (atrophic) vaginitis (N95.2)
trichomonal leukorrhoea (A59.0)
N89.0 Mild vaginal dysplasia
Incl.:
Vaginal intraepithelial neoplasia [VAIN], grade I
N89.1 Moderate vaginal dysplasia
Incl.:
Vaginal intraepithelial neoplasia [VAIN], grade II
N89.2 Severe vaginal dysplasia, not elsewhere classified
Incl.:
Severe vaginal dysplasia NOS
Excl.:
vaginal intraepithelial neoplasia [VAIN], grade III, with or without mention of severe dysplasia (D07.2)
N89.3 Dysplasia of vagina, unspecified
N89.4 Leukoplakia of vagina
N89.5 Stricture and atresia of vagina
Incl.:
Vaginal:
  • adhesions
  • stenosis
Excl.:
postoperative adhesions of vagina (N99.2)
N89.6 Tight hymenal ring
Incl.:
Rigid hymen
Tight introitus
Excl.:
imperforate hymen (Q52.3)
N89.7 Haematocolpos
Incl.:
Haematocolpos with haematometra or haematosalpinx
N89.8 Other specified noninflammatory disorders of vagina
Incl.:
Leukorrhoea NOS
Old vaginal laceration
Pessary ulcer of vagina
Excl.:
current obstetric trauma (O70.-, O71.4, O71.7-O71.8)
old laceration involving muscles of pelvic floor (N81.8)
N89.9 Noninflammatory disorder of vagina, unspecified

N90 Other noninflammatory disorders of vulva and perineum

Excl.:
carcinoma in situ of vulva (D07.1)
current obstetric trauma (O70.-, O71.7-O71.8)
inflammation of vulva (N76.-)
N90.0 Mild vulvar dysplasia
Incl.:
Vulvar intraepithelial neoplasia [VIN], grade I
N90.1 Moderate vulvar dysplasia
Incl.:
Vulvar intraepithelial neoplasia [VIN], grade II
N90.2 Severe vulvar dysplasia, not elsewhere classified
Incl.:
Severe vulvar dysplasia NOS
Excl.:
vulvar intraepithelial neoplasia grade III, [VIN] with or without mention of severe dysplasia (D07.1)
N90.3 Dysplasia of vulva, unspecified
N90.4 Leukoplakia of vulva
Incl.:
  • Dystrophy
  • Kraurosis
  • of vulva
N90.5 Atrophy of vulva
Incl.:
Stenosis of vulva
N90.6 Hypertrophy of vulva
Incl.:
Hypertrophy of labia
N90.7 Vulvar cyst
N90.8 Other specified noninflammatory disorders of vulva and perineum
Incl.:
Adhesions of vulva
Hypertrophy of clitoris
N90.9 Noninflammatory disorder of vulva and perineum, unspecified

N91 Absent, scanty and rare menstruation

Excl.:
ovarian dysfunction (E28.-)
N91.0 Primary amenorrhoea
Additional Text

Failure to start menstruation at puberty.

N91.1 Secondary amenorrhoea
Additional Text

Absence of menstruation in a woman who had previously menstruated.

N91.2 Amenorrhoea, unspecified
Incl.:
Absence of menstruation NOS
N91.3 Primary oligomenorrhoea
Additional Text

Menstruation which is scanty or rare from the start.

N91.4 Secondary oligomenorrhoea
Additional Text

Scanty and rare menstruation in a woman with previously normal periods.

N91.5 Oligomenorrhoea, unspecified
Incl.:
Hypomenorrhoea NOS

N92 Excessive, frequent and irregular menstruation

Excl.:
postmenopausal bleeding (N95.0)
N92.0 Excessive and frequent menstruation with regular cycle
Incl.:
Heavy periods NOS
Menorrhagia NOS
Polymenorrhoea
N92.1 Excessive and frequent menstruation with irregular cycle
Incl.:
Irregular intermenstrual bleeding
Irregular, shortened intervals between menstrual bleeding
Menometrorrhagia
Metrorrhagia
N92.2 Excessive menstruation at puberty
Incl.:
Excessive bleeding associated with onset of menstrual periods
Pubertal menorrhagia
Puberty bleeding
N92.3 Ovulation bleeding
Incl.:
Regular intermenstrual bleeding
N92.4 Excessive bleeding in the premenopausal period
Incl.:
Menorrhagia or metrorrhagia:
  • climacteric
  • menopausal
  • preclimacteric
  • premenopausal
N92.5 Other specified irregular menstruation
N92.6 Irregular menstruation, unspecified
Incl.:
Irregular:
  • bleeding NOS
  • periods NOS
Excl.:
irregular menstruation with:
  • lengthened intervals or scanty bleeding (N91.3-N91.5)
  • shortened intervals or excessive bleeding (N92.1)

N93 Other abnormal uterine and vaginal bleeding

Excl.:
neonatal vaginal haemorrhage (P54.6)
pseudomenses (P54.6)
N93.0 Postcoital and contact bleeding
N93.8 Other specified abnormal uterine and vaginal bleeding
Incl.:
Dysfunctional or functional uterine or vaginal bleeding NOS
N93.9 Abnormal uterine and vaginal bleeding, unspecified

N94 Pain and other conditions associated with female genital organs and menstrual cycle

N94.0 Mittelschmerz
N94.1 Dyspareunia
Excl.:
psychogenic dyspareunia (F52.6)
N94.2 Vaginismus
Excl.:
psychogenic vaginismus (F52.5)
N94.3 Premenstrual tension syndrome
N94.4 Primary dysmenorrhoea
N94.5 Secondary dysmenorrhoea
N94.6 Dysmenorrhoea, unspecified
N94.8 Other specified conditions associated with female genital organs and menstrual cycle
N94.9 Unspecified condition associated with female genital organs and menstrual cycle

N95 Menopausal and other perimenopausal disorders

Excl.:
excessive bleeding in the premenopausal period (N92.4)
postmenopausal:
  • osteoporosis (M81.0)
  • osteoporosis
    • with pathological fracture (M80.0)
  • urethritis (N34.2)
premature menopause NOS (E28.3)
N95.0 Postmenopausal bleeding
Excl.:
that associated with artificial menopause (N95.3)
N95.1 Menopausal and female climacteric states
Incl.:
Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with menopause
Excl.:
those associated with artificial menopause (N95.3)
N95.2 Postmenopausal atrophic vaginitis
Incl.:
Senile (atrophic) vaginitis
Excl.:
that associated with artificial menopause (N95.3)
N95.3 States associated with artificial menopause
Incl.:
Post-artificial-menopause syndrome
N95.8 Other specified menopausal and perimenopausal disorders
N95.9 Menopausal and perimenopausal disorder, unspecified

N96 Habitual aborter

Incl.:
Investigation or care in a nonpregnant woman
Relative infertility
Excl.:
currently pregnant (O26.2)
with current abortion (O03-O06)

N97 Female infertility

Incl.:
inability to achieve a pregnancy
sterility, female NOS
Excl.:
relative infertility (N96)
N97.0 Female infertility associated with anovulation
N97.1 Female infertility of tubal origin
Incl.:
Associated with congenital anomaly of tube
Tubal:
  • block
  • occlusion
  • stenosis
N97.2 Female infertility of uterine origin
Incl.:
Associated with congenital anomaly of uterus
Nonimplantation of ovum
N97.3 Female infertility of cervical origin
N97.4 Female infertility associated with male factors
N97.8 Female infertility of other origin
N97.9 Female infertility, unspecified

N98 Complications associated with artificial fertilization

N98.0 Infection associated with artificial insemination
N98.1 Hyperstimulation of ovaries
Incl.:
Hyperstimulation of ovaries:
  • NOS
  • associated with induced ovulation
N98.2 Complications of attempted introduction of fertilized ovum following in vitro fertilization
N98.3 Complications of attempted introduction of embryo in embryo transfer
N98.8 Other complications associated with artificial fertilization
Incl.:
Complications of artificial insemination by:
  • donor
  • husband
N98.9 Complication associated with artificial fertilization, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIV
Diseases of the genitourinary system
(N00-N99)

N99 Postprocedural disorders of genitourinary system, not elsewhere classified

Excl.:
irradiation cystitis (N30.4)
postoophorectomy osteoporosis (M81.1)
postoophorectomy osteoporosis
  • with pathological fracture (M80.1)
states associated with artificial menopause (N95.3)
N99.0 Postprocedural renal failure
N99.1 Postprocedural urethral stricture
Incl.:
Postcatheterization urethral stricture
N99.2 Postoperative adhesions of vagina
N99.3 Prolapse of vaginal vault after hysterectomy
N99.4 Postprocedural pelvic peritoneal adhesions
N99.5 Malfunction of external stoma of urinary tract
N99.8 Other postprocedural disorders of genitourinary system
Incl.:
Residual ovary syndrome
N99.9 Postprocedural disorder of genitourinary system, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XV
Pregnancy, childbirth and the puerperium
(O00-O99)

Pregnancy with abortive outcome
(O00-O08)

Excl.:
continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1)
Modifiers

The following fourth-character subdivisions are for use with categories O03-O06:

Incomplete abortion includes retained products of conception following abortion.

Code Title
.0
Incomplete, complicated by genital tract and pelvic infection
Incl.:
With conditions in O08.0
.1
Incomplete, complicated by delayed or excessive haemorrhage
Incl.:
With conditions in O08.1
.2
Incomplete, complicated by embolism
Incl.:
With conditions in O08.2
.3
Incomplete, with other and unspecified complications
Incl.:
With conditions in O08.3-O08.9
.4
Incomplete, without complication
.5
Complete or unspecified, complicated by genital tract and pelvic infection
Incl.:
With conditions in O08.0
.6
Complete or unspecified, complicated by delayed or excessive haemorrhage
Incl.:
With conditions in O08.1
.7
Complete or unspecified, complicated by embolism
Incl.:
With conditions in O08.2
.8
Complete or unspecified, with other and unspecified complications
Incl.:
With conditions in O08.3-O08.9
.9
Complete or unspecified, without complication

O00 Ectopic pregnancy

Incl.:
ruptured ectopic pregnancy
Coding-Hint
Use additional code from category O08.-, if desired, to identify any associated complication.
O00.0 Abdominal pregnancy
Excl.:
delivery of viable fetus in abdominal pregnancy (O83.3)
maternal care for viable fetus in abdominal pregnancy (O36.7)
O00.1 Tubal pregnancy
Incl.:
Fallopian pregnancy
Rupture of (fallopian) tube due to pregnancy
Tubal abortion
O00.2 Ovarian pregnancy
O00.8 Other ectopic pregnancy
Incl.:
Pregnancy:
  • cervical
  • cornual
  • intraligamentous
  • mural
O00.9 Ectopic pregnancy, unspecified

O01 Hydatidiform mole

Coding-Hint
Use additional code from category O08.-, if desired, to identify any associated complication.
Excl.:
malignant hydatidiform mole (D39.2)
O01.0 Classical hydatidiform mole
Incl.:
Complete hydatidiform mole
O01.1 Incomplete and partial hydatidiform mole
O01.9 Hydatidiform mole, unspecified
Incl.:
Trophoblastic disease NOS
Vesicular mole NOS

O02 Other abnormal products of conception

Coding-Hint
Use additional code from category O08.-, if desired, to identify any associated complication.
Excl.:
papyraceous fetus (O31.0)
O02.0 Blighted ovum and nonhydatidiform mole
Incl.:
Mole:
  • carneous
  • fleshy
  • intrauterine NOS
Pathological ovum
O02.1 Missed abortion
Incl.:
Early fetal death with retention of dead fetus
Excl.:
missed abortion with:
O02.8 Other specified abnormal products of conception
Excl.:
those with:
O02.9 Abnormal product of conception, unspecified

O03 Spontaneous abortion

Incl.:
miscarriage

O04 Medical abortion

Incl.:
termination of pregnancy:
  • legal
  • therapeutic
therapeutic abortion

O05 Other abortion

O06 Unspecified abortion

Incl.:
induced abortion NOS

O07 Failed attempted abortion

Incl.:
failure of attempted induction of abortion
Excl.:
incomplete abortion (O03-O06)
O07.0 Failed medical abortion, complicated by genital tract and pelvic infection
Incl.:
With conditions in O08.0
O07.1 Failed medical abortion, complicated by delayed or excessive haemorrhage
Incl.:
With conditions in O08.1
O07.2 Failed medical abortion, complicated by embolism
Incl.:
With conditions in O08.2
O07.3 Failed medical abortion, with other and unspecified complications
Incl.:
With conditions in O08.3-O08.9
O07.4 Failed medical abortion, without complication
Incl.:
Failed medical abortion NOS
O07.5 Other and unspecified failed attempted abortion, complicated by genital tract and pelvic infection
Incl.:
With conditions in O08.0
O07.6 Other and unspecified failed attempted abortion, complicated by delayed or excessive haemorrhage
Incl.:
With conditions in O08.1
O07.7 Other and unspecified failed attempted abortion, complicated by embolism
Incl.:
With conditions in O08.2
O07.8 Other and unspecified failed attempted abortion, with other and unspecified complications
Incl.:
With conditions in O08.3-O08.9
O07.9 Other and unspecified failed attempted abortion, without complication
Incl.:
Failed attempted abortion NOS

O08 Complications following abortion and ectopic and molar pregnancy

Note:

This code is provided primarily for morbidity coding. For use of this category reference should be made to the morbidity coding rules and guidelines in Volume 2.

O08.0 Genital tract and pelvic infection following abortion and ectopic and molar pregnancy
Incl.:
  • Endometritis
  • Oophoritis
  • Parametritis
  • Pelvic peritonitis
  • Salpingitis
  • Salpingo-oophoritis
  • Sepsis
  • following conditions classifiable to O00-O07
Coding-Hint
Use additional code (R57.2) , if desired, to identify septic shock.
Excl.:
septic or septicopyaemic embolism (O08.2)
urinary tract infection (O08.8)
O08.1 Delayed or excessive haemorrhage following abortion and ectopic and molar pregnancy
Incl.:
  • Afibrinogenaemia
  • Defibrination syndrome
  • Intravascular coagulation
  • following conditions classifiable to O00-O07
O08.2 Embolism following abortion and ectopic and molar pregnancy
Incl.:
  • Embolism:
    • NOS
    • air
    • amniotic fluid
    • blood-clot
    • pulmonary
    • pyaemic
    • septic or septicopyaemic
    • soap
  • following conditions classifiable to O00-O07
O08.3 Shock following abortion and ectopic and molar pregnancy
Incl.:
  • Circulatory collapse
  • Shock (postoperative)
  • following conditions classifiable to O00-O07
Excl.:
septic shock (R57.2)
O08.4 Renal failure following abortion and ectopic and molar pregnancy
Incl.:
  • Oliguria
  • Renal:
    • failure (acute)
    • shutdown
    • tubular necrosis
  • Uraemia
  • following conditions classifiable to O00-O07
O08.5 Metabolic disorders following abortion and ectopic and molar pregnancy
Incl.:
Electrolyte imbalance following conditions classifiable to O00-O07
O08.6 Damage to pelvic organs and tissues following abortion and ectopic and molar pregnancy
Incl.:
  • Laceration, perforation, tear or chemical damage of:
    • bladder
    • bowel
    • broad ligament
    • cervix
    • periurethral tissue
    • uterus
  • following conditions classifiable to O00-O07
O08.7 Other venous complications following abortion and ectopic and molar pregnancy
O08.8 Other complications following abortion and ectopic and molar pregnancy
Incl.:
  • Cardiac arrest
  • Urinary tract infection
  • following conditions classifiable to O00-O07
O08.9 Complication following abortion and ectopic and molar pregnancy, unspecified
Incl.:
Unspecified complication following conditions classifiable to O00-O07

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XV
Pregnancy, childbirth and the puerperium
(O00-O99)

O10 Pre-existing hypertension complicating pregnancy, childbirth and the puerperium

Incl.:
the listed conditions with pre-existing proteinuria
Excl.:
that with superimposed pre-eclampsia (O11)
O10.0 Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium
Incl.:
Any condition in I10 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
O10.1 Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium
Incl.:
Any condition in I11.- specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
O10.2 Pre-existing hypertensive renal disease complicating pregnancy, childbirth and the puerperium
Incl.:
Any condition in I12.- specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
O10.3 Pre-existing hypertensive heart and renal disease complicating pregnancy, childbirth and the puerperium
Incl.:
Any condition in I13.- specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
O10.4 Pre-existing secondary hypertension complicating pregnancy, childbirth and the puerperium
Incl.:
Any condition in I15.- specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
O10.9 Unspecified pre-existing hypertension complicating pregnancy, childbirth and the puerperium

O11 Pre-eclampsia superimposed on chronic hypertension

Incl.:
Conditions in O10.- complicated by pre-eclampsia
Pre-eclampsia superimposed on:
  • hypertension NOS
  • pre-existing hypertension

O12 Gestational [pregnancy-induced] oedema and proteinuria without hypertension

O12.0 Gestational oedema
O12.1 Gestational proteinuria
O12.2 Gestational oedema with proteinuria

O13 Gestational [pregnancy-induced] hypertension

Incl.:
  • Gestational
  • Pregnancy-induced
  • hypertension NOS
Transient hypertension of pregnancy

O14 Pre-eclampsia

Excl.:
superimposed pre-eclampsia (O11)
O14.0 Mild to moderate pre-eclampsia
O14.1 Severe pre-eclampsia
O14.2 HELLP syndrome
Definition
Combination of hemolysis, elevated liver enzymes and low platelet count
O14.9 Pre-eclampsia, unspecified

O15 Eclampsia

Incl.:
convulsions following conditions in O10-O14 and O16
eclampsia with pregnancy-induced or pre-existing hypertension
O15.0 Eclampsia in pregnancy
O15.1 Eclampsia in labour
O15.2 Eclampsia in the puerperium
O15.9 Eclampsia, unspecified as to time period
Incl.:
Eclampsia NOS

O16 Unspecified maternal hypertension

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XV
Pregnancy, childbirth and the puerperium
(O00-O99)

Other maternal disorders predominantly related to pregnancy
(O20-O29)

Note:

Categories O24.- and O25 include the listed conditions even if they occur during childbirth or the puerperium.

Excl.:
maternal:
  • care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
  • diseases classifiable elsewhere but complicating pregnancy, labour and delivery, and the puerperium (O98-O99)

O20 Haemorrhage in early pregnancy

Excl.:
pregnancy with abortive outcome (O00-O08)
O20.0 Threatened abortion
Incl.:
Haemorrhage specified as due to threatened abortion
O20.8 Other haemorrhage in early pregnancy
O20.9 Haemorrhage in early pregnancy, unspecified

O21 Excessive vomiting in pregnancy

O21.0 Mild hyperemesis gravidarum
Incl.:
Hyperemesis gravidarum, mild or unspecified, starting before the end of the 22nd week of gestation
O21.1 Hyperemesis gravidarum with metabolic disturbance
Incl.:
Hyperemesis gravidarum, starting before the end of the 22nd week of gestation, with metabolic disturbance such as:
  • carbohydrate depletion
  • dehydration
  • electrolyte imbalance
O21.2 Late vomiting of pregnancy
Incl.:
Excessive vomiting starting after 22 completed weeks of gestation
O21.8 Other vomiting complicating pregnancy
Incl.:
Vomiting due to diseases classified elsewhere, complicating pregnancy
Coding-Hint
Use additional code, if desired, to identify cause.
O21.9 Vomiting of pregnancy, unspecified

O22 Venous complications and haemorrhoids in pregnancy

Excl.:
obstetric pulmonary embolism (O88.-)
the listed conditions as complications of:
  • abortion or ectopic or molar pregnancy (O00-O07, O08.7)
  • childbirth and the puerperium (O87.-)
O22.0 Varicose veins of lower extremity in pregnancy
Incl.:
Varicose veins NOS in pregnancy
O22.1 Genital varices in pregnancy
Incl.:
  • Perineal
  • Vaginal
  • Vulval
  • varices in pregnancy
O22.2 Superficial thrombophlebitis in pregnancy
Incl.:
Thrombophlebitis of legs in pregnancy
O22.3 Deep phlebothrombosis in pregnancy
Incl.:
Deep-vein thrombosis, antepartum
O22.4 Haemorrhoids in pregnancy
O22.5 Cerebral venous thrombosis in pregnancy
Incl.:
Cerebrovenous sinus thrombosis in pregnancy
O22.8 Other venous complications in pregnancy
O22.9 Venous complication in pregnancy, unspecified
Incl.:
Gestational:
  • phlebitis NOS
  • phlebopathy NOS
  • thrombosis NOS

O23 Infections of genitourinary tract in pregnancy

Excl.:
gonococcal infections (O98.2)
infections with a predominantly sexual mode of transmission NOS (O98.3)
syphilis (O98.1)
tuberculosis of genitourinary system (O98.0)
venereal disease NOS (O98.3)
O23.0 Infections of kidney in pregnancy
O23.1 Infections of bladder in pregnancy
O23.2 Infections of urethra in pregnancy
O23.3 Infections of other parts of urinary tract in pregnancy
O23.4 Unspecified infection of urinary tract in pregnancy
O23.5 Infections of the genital tract in pregnancy
O23.9 Other and unspecified genitourinary tract infection in pregnancy
Incl.:
Genitourinary tract infection in pregnancy NOS

O24 Diabetes mellitus in pregnancy

Incl.:
in childbirth and the puerperium
O24.0 Pre-existing type 1 diabetes mellitus
O24.1 Pre-existing type 2 diabetes mellitus
O24.2 Pre-existing malnutrition-related diabetes mellitus
O24.3 Pre-existing diabetes mellitus, unspecified
O24.4 Diabetes mellitus arising in pregnancy
Incl.:
Gestational diabetes mellitus NOS
O24.9 Diabetes mellitus in pregnancy, unspecified

O25 Malnutrition in pregnancy

Incl.:
Malnutrition in childbirth and the puerperium

O26 Maternal care for other conditions predominantly related to pregnancy

O26.0 Excessive weight gain in pregnancy
Excl.:
gestational oedema (O12.0, O12.2)
O26.1 Low weight gain in pregnancy
O26.2 Pregnancy care of habitual aborter
Excl.:
habitual aborter:
  • with current abortion (O03-O06)
  • without current pregnancy (N96)
O26.3 Retained intrauterine contraceptive device in pregnancy
O26.4 Herpes gestationis
O26.5 Maternal hypotension syndrome
Incl.:
Supine hypotensive syndrome
O26.6 Liver disorders in pregnancy, childbirth and the puerperium
Incl.:
Cholestasis (intrahepatic) in pregnancy
Obstetric cholestasis
Excl.:
hepatorenal syndrome following labour and delivery (O90.4)
O26.7 Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium
Excl.:
traumatic separation of symphysis (pubis) during childbirth (O71.6)
O26.8 Other specified pregnancy-related conditions
Incl.:
  • Exhaustion and fatigue
  • Peripheral neuritis
  • Renal disease
  • pregnancy-related
O26.9 Pregnancy-related condition, unspecified

O28 Abnormal findings on antenatal screening of mother

Excl.:
diagnostic findings classified elsewhere - see Alphabetical Index
maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
O28.0 Abnormal haematological finding on antenatal screening of mother
O28.1 Abnormal biochemical finding on antenatal screening of mother
O28.2 Abnormal cytological finding on antenatal screening of mother
O28.3 Abnormal ultrasonic finding on antenatal screening of mother
O28.4 Abnormal radiological finding on antenatal screening of mother
O28.5 Abnormal chromosomal and genetic finding on antenatal screening of mother
O28.8 Other abnormal findings on antenatal screening of mother
O28.9 Abnormal finding on antenatal screening of mother, unspecified

O29 Complications of anaesthesia during pregnancy

Incl.:
maternal complications arising from the administration of a general or local anaesthetic, analgesic or other sedation during pregnancy
Excl.:
complications of anaesthesia during:
  • abortion or ectopic or molar pregnancy (O00-O08)
  • labour and delivery (O74.-)
  • puerperium (O89.-)
O29.0 Pulmonary complications of anaesthesia during pregnancy
Incl.:
  • Aspiration pneumonitis
  • Chemical pneumonitis due to aspiration
  • Inhalation of stomach contents or secretions NOS
  • Mendelson syndrome
  • Pressure collapse of lung
  • due to anaesthesia during pregnancy
O29.1 Cardiac complications of anaesthesia during pregnancy
Incl.:
  • Cardiac:
    • arrest
    • failure
  • due to anaesthesia during pregnancy
O29.2 Central nervous system complications of anaesthesia during pregnancy
Incl.:
Cerebral anoxia due to anaesthesia during pregnancy
O29.3 Toxic reaction to local anaesthesia during pregnancy
O29.4 Spinal and epidural anaesthesia-induced headache during pregnancy
O29.5 Other complications of spinal and epidural anaesthesia during pregnancy
O29.6 Failed or difficult intubation during pregnancy
O29.8 Other complications of anaesthesia during pregnancy
O29.9 Complication of anaesthesia during pregnancy, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XV
Pregnancy, childbirth and the puerperium
(O00-O99)

O30 Multiple gestation

Excl.:
complications specific to multiple gestation (O31.-)
O30.0 Twin pregnancy
O30.1 Triplet pregnancy
O30.2 Quadruplet pregnancy
O30.8 Other multiple gestation
O30.9 Multiple gestation, unspecified
Incl.:
Multiple pregnancy NOS

O31 Complications specific to multiple gestation

Excl.:
conjoined twins causing disproportion (O33.7)
delayed delivery of second twin, triplet, etc. (O63.2)
malpresentation of one fetus or more (O32.5)
with obstructed labour (O64-O66)
O31.0 Papyraceous fetus
Incl.:
Fetus compressus
O31.1 Continuing pregnancy after abortion of one fetus or more
O31.2 Continuing pregnancy after intrauterine death of one fetus or more
O31.8 Other complications specific to multiple gestation

O32 Maternal care for known or suspected malpresentation of fetus

Incl.:
the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for caesarean section before onset of labour
Excl.:
the listed conditions with obstructed labour (O64.-)
O32.0 Maternal care for unstable lie
O32.1 Maternal care for breech presentation
O32.2 Maternal care for transverse and oblique lie
Incl.:
Presentation:
  • oblique
  • transverse
O32.3 Maternal care for face, brow and chin presentation
O32.4 Maternal care for high head at term
Incl.:
Failure of head to enter pelvic brim
O32.5 Maternal care for multiple gestation with malpresentation of one fetus or more
O32.6 Maternal care for compound presentation
O32.8 Maternal care for other malpresentation of fetus
O32.9 Maternal care for malpresentation of fetus, unspecified

O33 Maternal care for known or suspected disproportion

Incl.:
the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for caesarean section before onset of labour
Excl.:
the listed conditions with obstructed labour (O65-O66)
O33.0 Maternal care for disproportion due to deformity of maternal pelvic bones
Incl.:
Pelvic deformity causing disproportion NOS
O33.1 Maternal care for disproportion due to generally contracted pelvis
Incl.:
Contracted pelvis NOS causing disproportion
O33.2 Maternal care for disproportion due to inlet contraction of pelvis
Incl.:
Inlet contraction (pelvis) causing disproportion
O33.3 Maternal care for disproportion due to outlet contraction of pelvis
Incl.:
  • Mid-cavity contraction (pelvis)
  • Outlet contraction (pelvis)
  • causing disproportion
O33.4 Maternal care for disproportion of mixed maternal and fetal origin
O33.5 Maternal care for disproportion due to unusually large fetus
Incl.:
Disproportion of fetal origin with normally formed fetus
Fetal disproportion NOS
O33.6 Maternal care for disproportion due to hydrocephalic fetus
O33.7 Maternal care for disproportion due to other fetal deformities
Incl.:
  • Conjoined twins
  • Fetal:
    • ascites
    • hydrops
    • meningomyelocele
    • sacral teratoma
    • tumour
  • causing disproportion
O33.8 Maternal care for disproportion of other origin
O33.9 Maternal care for disproportion, unspecified
Incl.:
Cephalopelvic disproportion NOS
Fetopelvic disproportion NOS

O34 Maternal care for known or suspected abnormality of pelvic organs

Incl.:
the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for caesarean section before onset of labour
Excl.:
the listed conditions with obstructed labour (O65.5)
O34.0 Maternal care for congenital malformation of uterus
Incl.:
Maternal care for:
  • double uterus
  • uterus bicornis
O34.1 Maternal care for tumour of corpus uteri
Incl.:
Maternal care for:
  • polyp of corpus uteri
  • uterine fibroid
Excl.:
maternal care for tumour of cervix (O34.4)
O34.2 Maternal care due to uterine scar from previous surgery
Incl.:
Maternal care for scar from previous caesarean section
Excl.:
vaginal delivery following previous caesarean section NOS (O75.7)
O34.3 Maternal care for cervical incompetence
Incl.:
  • Maternal care for:
    • cerclage
    • Shirodkar suture
  • with or without mention of cervical incompetence
O34.4 Maternal care for other abnormalities of cervix
Incl.:
Maternal care for:
  • polyp of cervix
  • previous surgery to cervix
  • stricture or stenosis of cervix
  • tumour of cervix
O34.5 Maternal care for other abnormalities of gravid uterus
Incl.:
  • Maternal care for:
    • incarceration
    • prolapse
    • retroversion
  • of gravid uterus
O34.6 Maternal care for abnormality of vagina
Incl.:
Maternal care for:
  • previous surgery to vagina
  • septate vagina
  • stenosis of vagina (acquired)(congenital)
  • stricture of vagina
  • tumour of vagina
Excl.:
maternal care for vaginal varices in pregnancy (O22.1)
O34.7 Maternal care for abnormality of vulva and perineum
Incl.:
Maternal care for:
  • fibrosis of perineum
  • previous surgery to perineum or vulva
  • rigid perineum
  • tumour of vulva
Excl.:
maternal care for perineal and vulval varices in pregnancy (O22.1)
O34.8 Maternal care for other abnormalities of pelvic organs
Incl.:
Maternal care for:
  • cystocele
  • pelvic floor repair (previous)
  • pendulous abdomen
  • rectocele
  • rigid pelvic floor
O34.9 Maternal care for abnormality of pelvic organ, unspecified

O35 Maternal care for known or suspected fetal abnormality and damage

Incl.:
the listed conditions in the fetus as a reason for observation, hospitalization or other obstetric care of the mother, or for termination of pregnancy
Excl.:
maternal care for known or suspected disproportion (O33.-)
O35.0 Maternal care for (suspected) central nervous system malformation in fetus
Incl.:
Maternal care for (suspected) fetal:
  • anencephaly
  • spina bifida
Excl.:
chromosomal abnormality in fetus (O35.1)
O35.1 Maternal care for (suspected) chromosomal abnormality in fetus
O35.2 Maternal care for (suspected) hereditary disease in fetus
Excl.:
chromosomal abnormality in fetus (O35.1)
O35.3 Maternal care for (suspected) damage to fetus from viral disease in mother
Incl.:
Maternal care for (suspected) damage to fetus from maternal:
  • cytomegalovirus infection
  • rubella
O35.4 Maternal care for (suspected) damage to fetus from alcohol
O35.5 Maternal care for (suspected) damage to fetus by drugs
Incl.:
Maternal care for (suspected) damage to fetus from drug addiction
Excl.:
fetal distress in labour and delivery due to drug administration (O68.-)
O35.6 Maternal care for (suspected) damage to fetus by radiation
O35.7 Maternal care for (suspected) damage to fetus by other medical procedures
Incl.:
Maternal care for (suspected) damage to fetus by:
  • amniocentesis
  • biopsy procedures
  • haematological investigation
  • intrauterine contraceptive device
  • intrauterine surgery
O35.8 Maternal care for other (suspected) fetal abnormality and damage
Incl.:
Maternal care for (suspected) damage to fetus from maternal:
  • listeriosis
  • toxoplasmosis
O35.9 Maternal care for (suspected) fetal abnormality and damage, unspecified

O36 Maternal care for other known or suspected fetal problems

Incl.:
the listed conditions in the fetus as a reason for observation, hospitalization or other obstetric care of the mother, or for termination of pregnancy
Excl.:
labour and delivery complicated by fetal stress [distress] (O68.-)
placental transfusion syndromes (O43.0)
O36.0 Maternal care for rhesus isoimmunization
Incl.:
Anti-D [Rh] antibodies
Rh incompatibility (with hydrops fetalis)
O36.1 Maternal care for other isoimmunization
Incl.:
ABO isoimmunization
Isoimmunization NOS (with hydrops fetalis)
O36.2 Maternal care for hydrops fetalis
Incl.:
Hydrops fetalis:
  • NOS
  • not associated with isoimmunization
O36.3 Maternal care for signs of fetal hypoxia
O36.4 Maternal care for intrauterine death
Excl.:
missed abortion (O02.1)
O36.5 Maternal care for poor fetal growth
Incl.:
Maternal care for known or suspected:
  • light-for-dates
  • placental insufficiency
  • small-for-dates
O36.6 Maternal care for excessive fetal growth
Incl.:
Maternal care for known or suspected large-for-dates
O36.7 Maternal care for viable fetus in abdominal pregnancy
O36.8 Maternal care for other specified fetal problems
O36.9 Maternal care for fetal problem, unspecified

O40 Polyhydramnios

Incl.:
Hydramnios

O41 Other disorders of amniotic fluid and membranes

Excl.:
premature rupture of membranes (O42.-)
O41.0 Oligohydramnios
Incl.:
Oligohydramnios without mention of rupture of membranes
O41.1 Infection of amniotic sac and membranes
Incl.:
Amnionitis
Chorioamnionitis
Membranitis
Placentitis
O41.8 Other specified disorders of amniotic fluid and membranes
O41.9 Disorder of amniotic fluid and membranes, unspecified

O42 Premature rupture of membranes

O42.0 Premature rupture of membranes, onset of labour within 24 hours
O42.1 Premature rupture of membranes, onset of labour after 24 hours
Excl.:
with labour delayed by therapy (O42.2)
O42.2 Premature rupture of membranes, labour delayed by therapy
O42.9 Premature rupture of membranes, unspecified

O43 Placental disorders

Excl.:
maternal care for poor fetal growth due to placental insufficiency (O36.5)
placenta praevia (O44.-)
premature separation of placenta [abruptio placentae] (O45.-)
O43.0 Placental transfusion syndromes
Incl.:
Transfusion:
  • fetomaternal
  • maternofetal
  • twin-to-twin
O43.1 Malformation of placenta
Incl.:
Abnormal placenta NOS
Circumvallate placenta
O43.2 Morbidly adherent placenta
Incl.:
Placenta:
  • accreta
  • increta
  • percreta
Coding-Hint
Use additional code, if desired, to identify any:
  • postpartum haemmorrhage, third stage (O72.0)
  • retained placenta without hemorrhage (O73.0)
O43.8 Other placental disorders
Incl.:
Placental:
  • dysfunction
  • infarction
O43.9 Placental disorder, unspecified

O44 Placenta praevia

O44.0 Placenta praevia specified as without haemorrhage
Incl.:
Low implantation of placenta specified as without haemorrhage
O44.1 Placenta praevia with haemorrhage
Incl.:
Low implantation of placenta, NOS or with haemorrhage
  • Placenta praevia:
    • marginal
    • partial
    • total
  • NOS or with haemorrhage
Excl.:
labour and delivery complicated by haemorrhage from vasa praevia (O69.4)

O45 Premature separation of placenta [abruptio placentae]

O45.0 Premature separation of placenta with coagulation defect
Incl.:
Abruptio placentae with (excessive) haemorrhage associated with:
  • afibrinogenaemia
  • disseminated intravascular coagulation
  • hyperfibrinolysis
  • hypofibrinogenaemia
O45.8 Other premature separation of placenta
O45.9 Premature separation of placenta, unspecified
Incl.:
Abruptio placentae NOS

O46 Antepartum haemorrhage, not elsewhere classified

Excl.:
haemorrhage in early pregnancy (O20.-)
intrapartum haemorrhage NEC (O67.-)
placenta praevia (O44.-)
premature separation of placenta [abruptio placentae] (O45.-)
O46.0 Antepartum haemorrhage with coagulation defect
Incl.:
Antepartum haemorrhage (excessive) associated with:
  • afibrinogenaemia
  • disseminated intravascular coagulation
  • hyperfibrinolysis
  • hypofibrinogenaemia
O46.8 Other antepartum haemorrhage
O46.9 Antepartum haemorrhage, unspecified

O47 False labour

O47.0 False labour before 37 completed weeks of gestation
O47.1 False labour at or after 37 completed weeks of gestation
O47.9 False labour, unspecified

O48 Prolonged pregnancy

Incl.:
Post-dates
Post-term

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XV
Pregnancy, childbirth and the puerperium
(O00-O99)

O60 Preterm labour and delivery

Incl.:
Onset (spontaneous) of labour before 37 completed weeks of gestation
O60.0 Preterm labour without delivery
Incl.:
Preterm labour:
  • induced
  • spontaneous
O60.1 Preterm spontaneous labour with preterm delivery
Incl.:
Preterm labour with delivery NOS
Preterm spontaneous labour with preterm delivery by caesarean section
O60.2 Preterm spontaneous labour with term delivery
Incl.:
Preterm spontaneous labour with term delivery by caesarean section
O60.3 Preterm delivery without spontaneous labour
Incl.:
Preterm delivery by:
  • caesarean section, without spontaneous labour
  • induction

O61 Failed induction of labour

O61.0 Failed medical induction of labour
Incl.:
Failed induction (of labour) by:
  • oxytocin
  • prostaglandins
O61.1 Failed instrumental induction of labour
Incl.:
Failed induction (of labour):
  • mechanical
  • surgical
O61.8 Other failed induction of labour
O61.9 Failed induction of labour, unspecified

O62 Abnormalities of forces of labour

O62.0 Primary inadequate contractions
Incl.:
Failure of cervical dilatation
Primary hypotonic uterine dysfunction
Uterine inertia during latent phase of labour
O62.1 Secondary uterine inertia
Incl.:
Arrested active phase of labour
Secondary hypotonic uterine dysfunction
O62.2 Other uterine inertia
Incl.:
Atony of uterus
Desultory labour
Hypotonic uterine dysfunction NOS
Irregular labour
Poor contractions
Uterine inertia NOS
O62.3 Precipitate labour
O62.4 Hypertonic, incoordinate, and prolonged uterine contractions
Incl.:
Contraction ring dystocia
Dyscoordinate labour
Hour-glass contraction of uterus
Hypertonic uterine dysfunction
Incoordinate uterine action
Tetanic contractions
Uterine dystocia NOS
Excl.:
dystocia (fetal)(maternal) NOS (O66.9)
O62.8 Other abnormalities of forces of labour
O62.9 Abnormality of forces of labour, unspecified

O63 Long labour

O63.0 Prolonged first stage (of labour)
O63.1 Prolonged second stage (of labour)
O63.2 Delayed delivery of second twin, triplet, etc.
O63.9 Long labour, unspecified
Incl.:
Prolonged labour NOS

O64 Obstructed labour due to malposition and malpresentation of fetus

O64.0 Obstructed labour due to incomplete rotation of fetal head
Incl.:
Deep transverse arrest
Obstructed labour due to persistent (position):
  • occipitoiliac
  • occipitoposterior
  • occipitosacral
  • occipitotransverse
O64.1 Obstructed labour due to breech presentation
O64.2 Obstructed labour due to face presentation
Incl.:
Obstructed labour due to chin presentation
O64.3 Obstructed labour due to brow presentation
O64.4 Obstructed labour due to shoulder presentation
Incl.:
Prolapsed arm
Excl.:
impacted shoulders (O66.0)
shoulder dystocia (O66.0)
O64.5 Obstructed labour due to compound presentation
O64.8 Obstructed labour due to other malposition and malpresentation
O64.9 Obstructed labour due to malposition and malpresentation, unspecified

O65 Obstructed labour due to maternal pelvic abnormality

O65.0 Obstructed labour due to deformed pelvis
O65.1 Obstructed labour due to generally contracted pelvis
O65.2 Obstructed labour due to pelvic inlet contraction
O65.3 Obstructed labour due to pelvic outlet and mid-cavity contraction
O65.4 Obstructed labour due to fetopelvic disproportion, unspecified
Excl.:
dystocia due to abnormality of fetus (O66.2-O66.3)
O65.5 Obstructed labour due to abnormality of maternal pelvic organs
Incl.:
Obstructed labour due to conditions listed in O34.-
O65.8 Obstructed labour due to other maternal pelvic abnormalities
O65.9 Obstructed labour due to maternal pelvic abnormality, unspecified

O66 Other obstructed labour

O66.0 Obstructed labour due to shoulder dystocia
Incl.:
Impacted shoulders
O66.1 Obstructed labour due to locked twins
O66.2 Obstructed labour due to unusually large fetus
O66.3 Obstructed labour due to other abnormalities of fetus
Incl.:
Dystocia due to:
  • conjoined twins
  • fetal:
    • ascites
    • hydrops
    • meningomyelocele
    • sacral teratoma
    • tumour
  • hydrocephalic fetus
O66.4 Failed trial of labour, unspecified
Incl.:
Failed trial of labour with subsequent delivery by caesarean section
O66.5 Failed application of vacuum extractor and forceps, unspecified
Incl.:
Failed application of ventouse or forceps, with subsequent delivery by forceps or caesarean section respectively
O66.8 Other specified obstructed labour
O66.9 Obstructed labour, unspecified
Incl.:
Dystocia:
  • NOS
  • fetal NOS
  • maternal NOS

O67 Labour and delivery complicated by intrapartum haemorrhage, not elsewhere classified

Excl.:
antepartum haemorrhage NEC (O46.-)
placenta praevia (O44.-)
postpartum haemorrhage (O72.-)
premature separation of placenta [abruptio placentae] (O45.-)
O67.0 Intrapartum haemorrhage with coagulation defect
Incl.:
Intrapartum haemorrhage (excessive) associated with:
  • afibrinogenaemia
  • disseminated intravascular coagulation
  • hyperfibrinolysis
  • hypofibrinogenaemia
O67.8 Other intrapartum haemorrhage
Incl.:
Excessive intrapartum haemorrhage
O67.9 Intrapartum haemorrhage, unspecified

O68 Labour and delivery complicated by fetal stress [distress]

Incl.:
fetal distress in labour or delivery due to drug administration
O68.0 Labour and delivery complicated by fetal heart rate anomaly
Incl.:
Fetal:
  • bradycardia
  • heart rate irregularity
  • tachycardia
Excl.:
with meconium in amniotic fluid (O68.2)
O68.1 Labour and delivery complicated by meconium in amniotic fluid
Excl.:
with fetal heart rate anomaly (O68.2)
O68.2 Labour and delivery complicated by fetal heart rate anomaly with meconium in amniotic fluid
O68.3 Labour and delivery complicated by biochemical evidence of fetal stress
Incl.:
Abnormal fetal:
  • acidaemia
  • acid-base balance
O68.8 Labour and delivery complicated by other evidence of fetal stress
Incl.:
Evidence of fetal distress:
  • electrocardiographic
  • ultrasonic
O68.9 Labour and delivery complicated by fetal stress, unspecified

O69 Labour and delivery complicated by umbilical cord complications

O69.0 Labour and delivery complicated by prolapse of cord
O69.1 Labour and delivery complicated by cord around neck, with compression
O69.2 Labour and delivery complicated by other cord entanglement, with compression
Incl.:
Compression of cord NOS
Entanglement of cords of twins in monoamniotic sac
Knot in cord
O69.3 Labour and delivery complicated by short cord
O69.4 Labour and delivery complicated by vasa praevia
Incl.:
Haemorrhage from vasa praevia
O69.5 Labour and delivery complicated by vascular lesion of cord
Incl.:
Cord:
  • bruising
  • haematoma
Thrombosis of umbilical vessels
O69.8 Labour and delivery complicated by other cord complications
Incl.:
Cord around neck without compression
O69.9 Labour and delivery complicated by cord complication, unspecified

O70 Perineal laceration during delivery

Incl.:
episiotomy extended by laceration
Excl.:
obstetric high vaginal laceration (O71.4)
vaginal sulcus laceration (O71.4)
O70.0 First degree perineal laceration during delivery
Incl.:
  • Perineal laceration, rupture or tear (involving):
    • fourchette
    • labia
    • periurethral tissue
    • skin
    • slight
    • vagina, low
    • vulva
  • during delivery
Excl.:
periurethral laceration involving urethra (O71.5)
that with laceration of:
  • high vaginal wall (middle)(upper third of vaginal wall) (O71.4)
  • vaginal sulcus (O71.4)
O70.1 Second degree perineal laceration during delivery
Incl.:
  • Perineal laceration, rupture or tear as in O70.0, also involving:
    • pelvic floor
    • perineal muscles
    • vaginal muscles
  • during delivery
Excl.:
that involving anal sphincter (O70.2)
O70.2 Third degree perineal laceration during delivery
Incl.:
  • Perineal laceration, rupture or tear as in O70.1, also involving:
    • anal sphincter
    • rectovaginal septum
    • sphincter NOS
  • during delivery
Excl.:
that involving anal or rectal mucosa (O70.3)
O70.3 Fourth degree perineal laceration during delivery
Incl.:
  • Perineal laceration, rupture or tear as in O70.2, also involving:
    • anal mucosa
    • rectal mucosa
  • during delivery
O70.9 Perineal laceration during delivery, unspecified

O71 Other obstetric trauma

Incl.:
damage from instruments
O71.0 Rupture of uterus before onset of labour
O71.1 Rupture of uterus during labour
Incl.:
Rupture of uterus not stated as occurring before onset of labour
O71.2 Postpartum inversion of uterus
O71.3 Obstetric laceration of cervix
Incl.:
Annular detachment of cervix
O71.4 Obstetric high vaginal laceration
Incl.:
Laceration of:
  • middle or upper third of vaginal wall
  • vaginal sulcus
Excl.:
that of the lower vagina (O70.-)
O71.5 Other obstetric injury to pelvic organs
Incl.:
Obstetric injury to:
  • bladder
  • urethra
Excl.:
(minor) laceration involving periurethral tissue only (O70.0)
O71.6 Obstetric damage to pelvic joints and ligaments
Incl.:
  • Avulsion of inner symphyseal cartilage
  • Damage to coccyx
  • Traumatic separation of symphysis (pubis)
  • obstetric
O71.7 Obstetric haematoma of pelvis
Incl.:
Obstetric haematoma of:
  • perineum
  • vagina
  • vulva
O71.8 Other specified obstetric trauma
O71.9 Obstetric trauma, unspecified

O72 Postpartum haemorrhage

Incl.:
haemorrhage after delivery of fetus or infant
O72.0 Third-stage haemorrhage
Incl.:
Haemorrhage associated with retained, trapped or adherent placenta
Retained placenta NOS
Coding-Hint
Use additional code, if desired, to identify any morbidly adherent placenta (O43.2)
O72.1 Other immediate postpartum haemorrhage
Incl.:
Haemorrhage following delivery of placenta
Postpartum haemorrhage (atonic) NOS
O72.2 Delayed and secondary postpartum haemorrhage
Incl.:
Haemorrhage associated with retained portions of placenta or membranes
Retained products of conception NOS, following delivery
O72.3 Postpartum coagulation defects
Incl.:
Postpartum:
  • afibrinogenaemia
  • fibrinolysis

O73 Retained placenta and membranes, without haemorrhage

O73.0 Retained placenta without haemorrhage
Coding-Hint
Use additional code, if desired, to identify any morbidly adherent placenta (O43.2)
O73.1 Retained portions of placenta and membranes, without haemorrhage
Incl.:
Retained products of conception following delivery, without haemorrhage

O74 Complications of anaesthesia during labour and delivery

Incl.:
maternal complications arising from the administration of a general or local anaesthetic, analgesic or other sedation during labour and delivery
O74.0 Aspiration pneumonitis due to anaesthesia during labour and delivery
Incl.:
  • Chemical pneumonitis due to aspiration
  • Inhalation of stomach contents or secretions NOS
  • Mendelson syndrome
  • due to anaesthesia during labour and delivery
O74.1 Other pulmonary complications of anaesthesia during labour and delivery
Incl.:
Pressure collapse of lung due to anaesthesia during labour and delivery
O74.2 Cardiac complications of anaesthesia during labour and delivery
Incl.:
  • Cardiac:
    • arrest
    • failure
  • due to anaesthesia during labour and delivery
O74.3 Central nervous system complications of anaesthesia during labour and delivery
Incl.:
Cerebral anoxia due to anaesthesia during labour and delivery
O74.4 Toxic reaction to local anaesthesia during labour and delivery
O74.5 Spinal and epidural anaesthesia-induced headache during labour and delivery
O74.6 Other complications of spinal and epidural anaesthesia during labour and delivery
O74.7 Failed or difficult intubation during labour and delivery
O74.8 Other complications of anaesthesia during labour and delivery
O74.9 Complication of anaesthesia during labour and delivery, unspecified

O75 Other complications of labour and delivery, not elsewhere classified

Excl.:
puerperal:
O75.0 Maternal distress during labour and delivery
O75.1 Shock during or following labour and delivery
Incl.:
Obstetric shock
O75.2 Pyrexia during labour, not elsewhere classified
O75.3 Other infection during labour
Incl.:
Sepsis during labour
O75.4 Other complications of obstetric surgery and procedures
Incl.:
  • Cardiac:
    • arrest
    • failure
  • Cerebral anoxia
  • following caesarean or other obstetric surgery or procedures, including delivery NOS
Excl.:
complications of anaesthesia during labour and delivery (O74.-)
obstetric (surgical) wound:
O75.5 Delayed delivery after artificial rupture of membranes
O75.6 Delayed delivery after spontaneous or unspecified rupture of membranes
Excl.:
spontaneous premature rupture of membranes (O42.-)
O75.7 Vaginal delivery following previous caesarean section
O75.8 Other specified complications of labour and delivery
O75.9 Complication of labour and delivery, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XV
Pregnancy, childbirth and the puerperium
(O00-O99)

Delivery
(O80-O84)

Note:

For use of these categories reference should be made to the mortality and morbidity coding rules and guidelines in Volume 2.

O80 Single spontaneous delivery

Incl.:
cases with minimal or no assistance, with or without episiotomy
delivery in a completely normal case
O80.0 Spontaneous vertex delivery
O80.1 Spontaneous breech delivery
O80.8 Other single spontaneous delivery
O80.9 Single spontaneous delivery, unspecified
Incl.:
Spontaneous delivery NOS

O81 Single delivery by forceps and vacuum extractor

Excl.:
failed application of vacuum extractor or forceps (O66.5)
O81.0 Low forceps delivery
O81.1 Mid-cavity forceps delivery
O81.2 Mid-cavity forceps with rotation
O81.3 Other and unspecified forceps delivery
O81.4 Vacuum extractor delivery
Incl.:
Ventouse delivery
O81.5 Delivery by combination of forceps and vacuum extractor
Incl.:
Forceps and ventouse delivery

O82 Single delivery by caesarean section

O82.0 Delivery by elective caesarean section
Incl.:
Repeat caesarean section NOS
O82.1 Delivery by emergency caesarean section
O82.2 Delivery by caesarean hysterectomy
O82.8 Other single delivery by caesarean section
O82.9 Delivery by caesarean section, unspecified

O83 Other assisted single delivery

O83.0 Breech extraction
O83.1 Other assisted breech delivery
Incl.:
Breech delivery NOS
O83.2 Other manipulation-assisted delivery
Incl.:
Version with extraction
O83.3 Delivery of viable fetus in abdominal pregnancy
O83.4 Destructive operation for delivery
Incl.:
  • Cleidotomy
  • Craniotomy
  • Embryotomy
  • to facilitate delivery
O83.8 Other specified assisted single delivery
O83.9 Assisted single delivery, unspecified
Incl.:
Assisted delivery NOS

O84 Multiple delivery

Coding-Hint
Use additional code (O80-O83), if desired, to indicate the method of delivery of each fetus or infant.
O84.0 Multiple delivery, all spontaneous
O84.1 Multiple delivery, all by forceps and vacuum extractor
O84.2 Multiple delivery, all by caesarean section
O84.8 Other multiple delivery
Incl.:
Multiple delivery by combination of methods
O84.9 Multiple delivery, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XV
Pregnancy, childbirth and the puerperium
(O00-O99)

Complications predominantly related to the puerperium
(O85-O92)

Note:

Categories O88.-, O91.- and O92.- include the listed conditions even if they occur during pregnancy and childbirth.

Excl.:
mental and behavioural disorders associated with the puerperium (F53.-)
obstetrical tetanus (A34)
puerperal osteomalacia (M83.0)

O85 Puerperal sepsis

Incl.:
Puerperal:
  • endometritis
  • fever
  • peritonitis
  • sepsis
Coding-Hint
Use additional code (B95-B98) , if desired, to identify infectious agent.
Excl.:
obstetric pyaemic and septic embolism (O88.3)
sepsis during labour (O75.3)

O86 Other puerperal infections

Coding-Hint
Use additional code (B95-B98) , if desired, to identify infectious agent.
Excl.:
infection during labour (O75.3)
O86.0 Infection of obstetric surgical wound
Incl.:
  • Infected:
    • caesarean section wound
    • perineal repair
  • following delivery
O86.1 Other infection of genital tract following delivery
Incl.:
  • Cervicitis
  • Vaginitis
  • following delivery
O86.2 Urinary tract infection following delivery
Incl.:
Conditions in N10-N12, N15.-, N30.-, N34.-, N39.0 following delivery
O86.3 Other genitourinary tract infections following delivery
Incl.:
Puerperal genitourinary tract infection NOS
O86.4 Pyrexia of unknown origin following delivery
Incl.:
Puerperal:
  • infection NOS
  • pyrexia NOS
Excl.:
puerperal fever (O85)
pyrexia during labour (O75.2)
O86.8 Other specified puerperal infections

O87 Venous complications and haemorrhoids in the puerperium

Incl.:
in labour, delivery and the puerperium
Excl.:
obstetric embolism (O88.-)
venous complications in pregnancy (O22.-)
O87.0 Superficial thrombophlebitis in the puerperium
O87.1 Deep phlebothrombosis in the puerperium
Incl.:
Deep-vein thrombosis, postpartum
Pelvic thrombophlebitis, postpartum
O87.2 Haemorrhoids in the puerperium
O87.3 Cerebral venous thrombosis in the puerperium
Incl.:
Cerebrovenous sinus thrombosis in the puerperium
O87.8 Other venous complications in the puerperium
Incl.:
Genital varices in the puerperium
O87.9 Venous complication in the puerperium, unspecified
Incl.:
Puerperal:
  • phlebitis NOS
  • phlebopathy NOS
  • thrombosis NOS

O88 Obstetric embolism

Incl.:
pulmonary emboli in pregnancy, childbirth or the puerperium
Excl.:
embolism complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)
O88.0 Obstetric air embolism
O88.1 Amniotic fluid embolism
Incl.:
Anaphylactoid syndrome of pregnancy
O88.2 Obstetric blood-clot embolism
Incl.:
Obstetric (pulmonary) embolism NOS
Puerperal (pulmonary) embolism NOS
O88.3 Obstetric pyaemic and septic embolism
O88.8 Other obstetric embolism
Incl.:
Obstetric fat embolism

O89 Complications of anaesthesia during the puerperium

Incl.:
maternal complications arising from the administration of a general or local anaesthetic, analgesic or other sedation during the puerperium
O89.0 Pulmonary complications of anaesthesia during the puerperium
Incl.:
  • Aspiration pneumonitis
  • Chemical pneumonitis due to aspiration
  • Inhalation of stomach contents or secretions NOS
  • Mendelson syndrome
  • Pressure collapse of lung
  • due to anaesthesia during the puerperium
O89.1 Cardiac complications of anaesthesia during the puerperium
Incl.:
  • Cardiac:
    • arrest
    • failure
  • due to anaesthesia during the puerperium
O89.2 Central nervous system complications of anaesthesia during the puerperium
Incl.:
Cerebral anoxia due to anaesthesia during the puerperium
O89.3 Toxic reaction to local anaesthesia during the puerperium
O89.4 Spinal and epidural anaesthesia-induced headache during the puerperium
O89.5 Other complications of spinal and epidural anaesthesia during the puerperium
O89.6 Failed or difficult intubation during the puerperium
O89.8 Other complications of anaesthesia during the puerperium
O89.9 Complication of anaesthesia during the puerperium, unspecified

O90 Complications of the puerperium, not elsewhere classified

O90.0 Disruption of caesarean section wound
O90.1 Disruption of perineal obstetric wound
Incl.:
Disruption of wound of:
  • episiotomy
  • perineal laceration
Secondary perineal tear
O90.2 Haematoma of obstetric wound
O90.3 Cardiomyopathy in the puerperium
Incl.:
Conditions in I42.-
O90.4 Postpartum acute renal failure
Incl.:
Hepatorenal syndrome following labour and delivery
O90.5 Postpartum thyroiditis
O90.8 Other complications of the puerperium, not elsewhere classified
Incl.:
Placental polyp
O90.9 Complication of the puerperium, unspecified

O91 Infections of breast associated with childbirth

Incl.:
the listed conditions during pregnancy, the puerperium or lactation
O91.0 Infection of nipple associated with childbirth
Incl.:
Abscess of nipple:
  • gestational
  • puerperal
O91.1 Abscess of breast associated with childbirth
Incl.:
  • Mammary abscess
  • Purulent mastitis
  • Subareolar abscess
  • gestational or puerperal
O91.2 Nonpurulent mastitis associated with childbirth
Incl.:
  • Lymphangitis of breast
  • Mastitis:
    • NOS
    • interstitial
    • parenchymatous
  • gestational or puerperal

O92 Other disorders of breast and lactation associated with childbirth

Incl.:
the listed conditions during pregnancy, the puerperium or lactation
O92.0 Retracted nipple associated with childbirth
O92.1 Cracked nipple associated with childbirth
Incl.:
Fissure of nipple, gestational or puerperal
O92.2 Other and unspecified disorders of breast associated with childbirth
O92.3 Agalactia
Incl.:
Primary agalactia
O92.4 Hypogalactia
O92.5 Suppressed lactation
Incl.:
Agalactia:
  • elective
  • secondary
  • therapeutic
O92.6 Galactorrhoea
Excl.:
galactorrhoea not associated with childbirth (N64.3)
O92.7 Other and unspecified disorders of lactation
Incl.:
Puerperal galactocele

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XV
Pregnancy, childbirth and the puerperium
(O00-O99)

Other obstetric conditions, not elsewhere classified
(O94-O99)

Note:

For use of categories O95-O97 reference should be made to the mortality coding rules and guidelines in Volume 2.

O94 Sequelae of complication of pregnancy, childbirth and the puerperium

Note:

This category is to be used for morbidity coding only to indicate conditions in categories O00-O75 and O85-O92 as the cause of sequelae, which are themselves classified elsewhere. The 'sequelae' include conditions specified as such or as late effects, or those present one year or more after the onset of the causal condition.

Not to be used for chronic complications of pregnancy, childbirth and the puerperium. Code these to O00-O75 and O85-O92 .

Excl.:
that resulting in death (O96.-, O97.-)

O95 Obstetric death of unspecified cause

Incl.:
Maternal death from unspecified cause occurring during pregnancy, labour and delivery, or the puerperium

O96 Death from any obstetric cause occurring more than 42 days but less than one year after delivery

Note:
This category is to be used to indicate death from any obstetric cause (conditions in categories O00-O75, O85-O92 , and O98-O99 occurring more than 42 days but less than one year after delivery.
Coding-Hint
Use additional code, if desired, to identify obstetric cause (direct or indirect) of death.
Excl.:
death from conditions specified as sequelae or late effects of obstetric causes (O97.-)
conditions specified as sequelae or late effects of obstetric causes that are not resulting in death (O94)
O96.0 Death from direct obstetric cause occurring more than 42 days but less than one year after delivery
O96.1 Death from indirect obstetric cause occurring more than 42 days but less than one year after delivery
O96.9 Death from unspecified obstetric cause occurring more than 42 days but less than one year after delivery

O97 Death from sequelae of obstetric causes

Note:
This category is to be used to indicate death from any obstetric cause (conditions in categories O00-O75, O85-O92 , and O98-O99 occurring more than 42 days but less than one year after delivery. The ‘sequelae’ include conditions specified as such or as late effects, or those present one year or more after delivery.
Coding-Hint
Use additional code, if desired, to identify the obstetric cause (direct or indirect)
Excl.:
conditions specified as sequelae or late effects of obstetric causes that are not resulting in death (O94)
O97.0 Death from sequelae of direct obstetric cause
O97.1 Death from sequelae of indirect obstetric cause
O97.9 Death from sequelae of obstetric cause, unspecified

O98 Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

Incl.:
the listed conditions when complicating the pregnant state, when aggravated by the pregnancy, or as a reason for obstetric care
Coding-Hint
Use additional code (Chapter I), if desired, to identify specific condition.
Excl.:
asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
laboratory evidence of human immunodeficiency virus [HIV] (R75)
obstetrical tetanus (A34)
puerperal:
when the reason for maternal care is that the disease is known or suspected to have affected the fetus (O35-O36)
O98.0 Tuberculosis complicating pregnancy, childbirth and the puerperium
Incl.:
Conditions in A15-A19
O98.1 Syphilis complicating pregnancy, childbirth and the puerperium
Incl.:
Conditions in A50-A53
O98.2 Gonorrhoea complicating pregnancy, childbirth and the puerperium
Incl.:
Conditions in A54.-
O98.3 Other infections with a predominantly sexual mode of transmission complicating pregnancy, childbirth and the puerperium
Incl.:
Conditions in A55-A64
O98.4 Viral hepatitis complicating pregnancy, childbirth and the puerperium
Incl.:
Conditions in B15-B19
O98.5 Other viral diseases complicating pregnancy, childbirth and the puerperium
Incl.:
Conditions in A80-B09, B25-B34
O98.6 Protozoal diseases complicating pregnancy, childbirth and the puerperium
Incl.:
Conditions in B50-B64
O98.7 Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium
Coding-Hint
Conditions in (B20-B24)
O98.8 Other maternal infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium
O98.9 Unspecified maternal infectious or parasitic disease complicating pregnancy, childbirth and the puerperium

O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

Note:

This category includes conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care and for which the Alphabetical Index does not indicate a specific rubric in Chapter XV.

Coding-Hint
Use additional code, if desired, to identify specific condition.
Excl.:
infectious and parasitic diseases (O98.-)
injury, poisoning and certain other consequences of external causes (S00-T98)
when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35-O36)
O99.0 Anaemia complicating pregnancy, childbirth and the puerperium
Incl.:
Conditions in D50-D64
O99.1 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium
Incl.:
Conditions in D65-D89
Excl.:
haemorrhage with coagulation defects (O46.0, O67.0, O72.3)
O99.2 Endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium
Incl.:
Conditions in E00-E90
Excl.:
diabetes mellitus (O24.-)
malnutrition (O25)
postpartum thyroiditis (O90.5)
O99.3 Mental disorders and diseases of the nervous system complicating pregnancy, childbirth and the puerperium
Incl.:
Conditions in F00-F99 and G00-G99
Excl.:
postnatal depression (F53.0)
pregnancy-related peripheral neuritis (O26.8)
puerperal psychosis (F53.1)
O99.4 Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium
Incl.:
Conditions in I00-I99
Excl.:
cardiomyopathy in the puerperium (O90.3)
hypertensive disorders (O10-O16)
obstetric embolism (O88.-)
venous complications and cerebrovenous sinus thrombosis in:
  • labour, childbirth and the puerperium (O87.-)
  • pregnancy (O22.-)
O99.5 Diseases of the respiratory system complicating pregnancy, childbirth and the puerperium
Incl.:
Conditions in J00-J99
O99.6 Diseases of the digestive system complicating pregnancy, childbirth and the puerperium
Incl.:
Conditions in K00-K93
Excl.:
haemorrhoids in pregnancy (O22.4)
liver disorders in pregnancy, childbirth and the puerperium (O26.6)
O99.7 Diseases of the skin and subcutaneous tissue complicating pregnancy, childbirth and the puerperium
Incl.:
Conditions in L00-L99
Excl.:
herpes gestationis (O26.4)
pruritus in pregnancy (O26.8)
O99.8 Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium
Incl.:
Combination of conditions classifiable to O99.0-O99.7
Conditions in C00-D48, H00-H95, M00-M99, N00-N99, and Q00-Q99 not elsewhere classified
Excl.:
genitourinary infections in pregnancy (O23.-)
infection of genitourinary tract following delivery (O86.0-O86.3)
maternal care for known or suspected abnormality of maternal pelvic organs (O34.-)
postpartum acute renal failure (O90.4)
postpartum nephritis (O90.8)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVI
Certain conditions originating in the perinatal period
(P00-P96)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery
(P00-P04)

Incl.:
the listed maternal conditions only when specified as a cause of mortality or morbidity in fetus or newborn

P00 Fetus and newborn affected by maternal conditions that may be unrelated to present pregnancy

Excl.:
fetus and newborn affected by:
  • maternal complications of pregnancy (P01.-)
  • maternal endocrine and metabolic disorders (P70-P74)
  • noxious influences transmitted via placenta or breast milk (P04.-)
P00.0 Fetus and newborn affected by maternal hypertensive disorders
Incl.:
Fetus or newborn affected by maternal conditions classifiable to O10-O11, O13-O16
P00.1 Fetus and newborn affected by maternal renal and urinary tract diseases
Incl.:
Fetus or newborn affected by maternal conditions classifiable to N00-N39
P00.2 Fetus and newborn affected by maternal infectious and parasitic diseases
Incl.:
Fetus or newborn affected by maternal infectious disease classifiable to A00-B99 and J09-J11, but not itself manifesting that disease
Excl.:
infections specific to the perinatal period (P35-P39)
maternal genital tract and other localized infections (P00.8)
P00.3 Fetus and newborn affected by other maternal circulatory and respiratory diseases
Incl.:
Fetus or newborn affected by maternal conditions classifiable to I00-I99, J00-J99, Q20-Q34 and not included in P00.0, P00.2
P00.4 Fetus and newborn affected by maternal nutritional disorders
Incl.:
Fetus or newborn affected by maternal disorders classifiable to E40-E64
Maternal malnutrition NOS
P00.5 Fetus and newborn affected by maternal injury
Incl.:
Fetus or newborn affected by maternal conditions classifiable to S00-T79
P00.6 Fetus and newborn affected by surgical procedure on mother
Excl.:
caesarean section for present delivery (P03.4)
damage to placenta from amniocentesis, caesarean section or surgical induction (P02.1)
previous surgery to uterus or pelvic organs (P03.8)
termination of pregnancy, fetus (P96.4)
P00.7 Fetus and newborn affected by other medical procedures on mother, not elsewhere classified
Incl.:
Fetus or newborn affected by radiology on mother
Excl.:
damage to placenta from amniocentesis, caesarean section or surgical induction (P02.1)
fetus or newborn affected by other complications of labour and delivery (P03.-)
P00.8 Fetus and newborn affected by other maternal conditions
Incl.:
Fetus or newborn affected by:
  • conditions classifiable to T80-T88
  • maternal genital tract and other localized infections
  • maternal systemic lupus erythematosus
Excl.:
transitory neonatal endocrine and metabolic disorders (P70-P74)
P00.9 Fetus and newborn affected by unspecified maternal condition

P01 Fetus and newborn affected by maternal complications of pregnancy

P01.0 Fetus and newborn affected by incompetent cervix
P01.1 Fetus and newborn affected by premature rupture of membranes
P01.2 Fetus and newborn affected by oligohydramnios
Excl.:
when due to premature rupture of membranes (P01.1)
P01.3 Fetus and newborn affected by polyhydramnios
Incl.:
Hydramnios
P01.4 Fetus and newborn affected by ectopic pregnancy
Incl.:
Abdominal pregnancy
P01.5 Fetus and newborn affected by multiple pregnancy
Incl.:
Triplet (pregnancy)
Twin (pregnancy)
P01.6 Fetus and newborn affected by maternal death
P01.7 Fetus and newborn affected by malpresentation before labour
Incl.:
  • Breech presentation
  • External version
  • Face presentation
  • Transverse lie
  • Unstable lie
  • before labour
P01.8 Fetus and newborn affected by other maternal complications of pregnancy
Incl.:
Spontaneous abortion, fetus
P01.9 Fetus and newborn affected by maternal complication of pregnancy, unspecified

P02 Fetus and newborn affected by complications of placenta, cord and membranes

P02.0 Fetus and newborn affected by placenta praevia
P02.1 Fetus and newborn affected by other forms of placental separation and haemorrhage
Incl.:
Abruptio placentae
Accidental haemorrhage
Antepartum haemorrhage
Damage to placenta from amniocentesis, caesarean section or surgical induction
Maternal blood loss
Premature separation of placenta
P02.2 Fetus and newborn affected by other and unspecified morphological and functional abnormalities of placenta
Incl.:
Placental:
  • dysfunction
  • infarction
  • insufficiency
P02.3 Fetus and newborn affected by placental transfusion syndromes
Incl.:
Placental and cord abnormalities resulting in twin-to-twin or other transplacental transfusion
Coding-Hint
Use additional code, if desired, to indicate resultant condition in the fetus or newborn.
P02.4 Fetus and newborn affected by prolapsed cord
P02.5 Fetus and newborn affected by other compression of umbilical cord
Incl.:
Cord (tightly) around neck
Entanglement of cord
Knot in cord
P02.6 Fetus and newborn affected by other and unspecified conditions of umbilical cord
Incl.:
Short cord
Vasa praevia
Excl.:
single umbilical artery (Q27.0)
P02.7 Fetus and newborn affected by chorioamnionitis
Incl.:
Amnionitis
Membranitis
Placentitis
P02.8 Fetus and newborn affected by other abnormalities of membranes
P02.9 Fetus and newborn affected by abnormality of membranes, unspecified

P03 Fetus and newborn affected by other complications of labour and delivery

P03.0 Fetus and newborn affected by breech delivery and extraction
P03.1 Fetus and newborn affected by other malpresentation, malposition and disproportion during labour and delivery
Incl.:
Contracted pelvis
Fetus or newborn affected by conditions classifiable to O64-O66
Persistent occipitoposterior
Transverse lie
P03.2 Fetus and newborn affected by forceps delivery
P03.3 Fetus and newborn affected by delivery by vacuum extractor [ventouse]
P03.4 Fetus and newborn affected by caesarean delivery
P03.5 Fetus and newborn affected by precipitate delivery
Incl.:
Rapid second stage
P03.6 Fetus and newborn affected by abnormal uterine contractions
Incl.:
Fetus or newborn affected by conditions classifiable to O62.-, except O62.3
Hypertonic labour
Uterine inertia
P03.8 Fetus and newborn affected by other specified complications of labour and delivery
Incl.:
Abnormality of maternal soft tissues
Destructive operation to facilitate delivery
Fetus or newborn affected by conditions classifiable to O60-O75 and by procedures used in labour and delivery not included in P02.- and P03.0-P03.6
Induction of labour
P03.9 Fetus and newborn affected by complication of labour and delivery, unspecified

P04 Fetus and newborn affected by noxious influences transmitted via placenta or breast milk

Incl.:
nonteratogenic effects of substances transmitted via placenta
Excl.:
congenital malformations (Q00-Q99)
neonatal jaundice due to drugs or toxins transmitted from mother (P58.4)
P04.0 Fetus and newborn affected by maternal anaesthesia and analgesia in pregnancy, labour and delivery
Incl.:
Reactions and intoxications from maternal opiates and tranquillizers administered during labour and delivery
P04.1 Fetus and newborn affected by other maternal medication
Incl.:
Cancer chemotherapy
Cytotoxic drugs
Excl.:
dysmorphism due to warfarin (Q86.2)
fetal hydantoin syndrome (Q86.1)
maternal use of drugs of addiction (P04.4)
P04.2 Fetus and newborn affected by maternal use of tobacco
P04.3 Fetus and newborn affected by maternal use of alcohol
Excl.:
fetal alcohol syndrome (Q86.0)
P04.4 Fetus and newborn affected by maternal use of drugs of addiction
Excl.:
maternal anaesthesia and analgesia (P04.0)
withdrawal symptoms from maternal use of drugs of addiction (P96.1)
P04.5 Fetus and newborn affected by maternal use of nutritional chemical substances
P04.6 Fetus and newborn affected by maternal exposure to environmental chemical substances
P04.8 Fetus and newborn affected by other maternal noxious influences
P04.9 Fetus and newborn affected by maternal noxious influence, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVI
Certain conditions originating in the perinatal period
(P00-P96)

P05 Slow fetal growth and fetal malnutrition

P05.0 Light for gestational age
Additional Text

Usually referred to as weight below but length above 10th centile for gestational age.

Incl.:
Light-for-dates
P05.1 Small for gestational age
Additional Text

Usually referred to as weight and length below 10th centile for gestational age.

Incl.:
Small-for-dates
Small-and-light-for-dates
P05.2 Fetal malnutrition without mention of light or small for gestational age
Additional Text

Infant, not light or small for gestational age, showing signs of fetal malnutrition, such as dry, peeling skin and loss of subcutaneous tissue.

Excl.:
fetal malnutrition with mention of:
  • light for gestational age (P05.0)
  • small for gestational age (P05.1)
P05.9 Slow fetal growth, unspecified
Incl.:
Fetal growth retardation NOS

P07 Disorders related to short gestation and low birth weight, not elsewhere classified

Note:

When both birth weight and gestational age are available, priority of assignment should be given to birth weight.

Incl.:
the listed conditions, without further specification, as the cause of mortality, morbidity or additional care, in newborn
Excl.:
low birth weight due to slow fetal growth and fetal malnutrition (P05.-)
P07.0 Extremely low birth weight
Additional Text

Birth weight 999 g or less.

P07.1 Other low birth weight
Additional Text

Birth weight 1000-2499 g.

P07.2 Extreme immaturity
Additional Text

Less than 28 completed weeks (less than 196 completed days) of gestation.

P07.3 Other preterm infants
Additional Text

28 completed weeks or more but less than 37 completed weeks (196 completed days but less than 259 completed days) of gestation.

Incl.:
Prematurity NOS

P08 Disorders related to long gestation and high birth weight

Note:

When both birth weight and gestational age are available, priority of assignment should be given to birth weight.

Incl.:
the listed conditions, without further specification, as causes of mortality, morbidity or additional care, in fetus or newborn
P08.0 Exceptionally large baby
Additional Text

Usually implies a birth weight of 4500 g or more.

Excl.:
syndrome of:
  • infant of diabetic mother (P70.1)
  • infant of mother with gestational diabetes (P70.0)
P08.1 Other heavy for gestational age infants
Definition

Usually implies a birth weight >90th percentile for gestational age or 4000 g or more at term

Incl.:

Other fetus or infant heavy- or large-for-dates regardless of period of gestation.

Excl.:
syndrome of infant of:
  • diabetic mother (P70.1)
  • mother with gestational diabetes (P70.0)
  • Birth weight of 4500 g or more (P08.0)
P08.2 Post-term infant, not heavy for gestational age
Additional Text

Fetus or infant with gestation period of 42 completed weeks or more (294 days or more), not heavy- or large-for-dates.

Incl.:
Postmaturity NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVI
Certain conditions originating in the perinatal period
(P00-P96)

P10 Intracranial laceration and haemorrhage due to birth injury

Excl.:
intracranial haemorrhage of fetus or newborn:
P10.0 Subdural haemorrhage due to birth injury
Incl.:
Subdural haematoma (localized) due to birth injury
Excl.:
subdural haemorrhage accompanying tentorial tear (P10.4)
P10.1 Cerebral haemorrhage due to birth injury
P10.2 Intraventricular haemorrhage due to birth injury
P10.3 Subarachnoid haemorrhage due to birth injury
P10.4 Tentorial tear due to birth injury
P10.8 Other intracranial lacerations and haemorrhages due to birth injury
P10.9 Unspecified intracranial laceration and haemorrhage due to birth injury

P11 Other birth injuries to central nervous system

P11.0 Cerebral oedema due to birth injury
P11.1 Other specified brain damage due to birth injury
P11.2 Unspecified brain damage due to birth injury
P11.3 Birth injury to facial nerve
Incl.:
Facial palsy due to birth injury
P11.4 Birth injury to other cranial nerves
P11.5 Birth injury to spine and spinal cord
Incl.:
Fracture of spine due to birth injury
P11.9 Birth injury to central nervous system, unspecified

P12 Birth injury to scalp

P12.0 Cephalhaematoma due to birth injury
P12.1 Chignon due to birth injury
P12.2 Epicranial subaponeurotic haemorrhage due to birth injury
P12.3 Bruising of scalp due to birth injury
P12.4 Monitoring injury of scalp of newborn
Incl.:
Sampling incision
Scalp clip (electrode) injury
P12.8 Other birth injuries to scalp
P12.9 Birth injury to scalp, unspecified

P13 Birth injury to skeleton

Excl.:
birth injury to spine (P11.5)
P13.0 Fracture of skull due to birth injury
P13.1 Other birth injuries to skull
Excl.:
cephalhaematoma (P12.0)
P13.2 Birth injury to femur
P13.3 Birth injury to other long bones
P13.4 Fracture of clavicle due to birth injury
P13.8 Birth injuries to other parts of skeleton
P13.9 Birth injury to skeleton, unspecified

P14 Birth injury to peripheral nervous system

P14.0 Erb paralysis due to birth injury
P14.1 Klumpke paralysis due to birth injury
P14.2 Phrenic nerve paralysis due to birth injury
P14.3 Other brachial plexus birth injuries
P14.8 Birth injuries to other parts of peripheral nervous system
P14.9 Birth injury to peripheral nervous system, unspecified

P15 Other birth injuries

P15.0 Birth injury to liver
Incl.:
Rupture of liver due to birth injury
P15.1 Birth injury to spleen
Incl.:
Rupture of spleen due to birth injury
P15.2 Sternomastoid injury due to birth injury
P15.3 Birth injury to eye
Incl.:
  • Subconjunctival haemorrhage
  • Traumatic glaucoma
  • due to birth injury
P15.4 Birth injury to face
Incl.:
Facial congestion due to birth injury
P15.5 Birth injury to external genitalia
P15.6 Subcutaneous fat necrosis due to birth injury
P15.8 Other specified birth injuries
P15.9 Birth injury, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVI
Certain conditions originating in the perinatal period
(P00-P96)

P20 Intrauterine hypoxia

Incl.:
abnormal fetal heart rate
fetal or intrauterine:
  • acidosis
  • anoxia
  • asphyxia
  • distress
  • hypoxia
meconium in liquor
passage of meconium
Excl.:
intracranial haemorrhage due to anoxia or hypoxia (P52.-)
P20.0 Intrauterine hypoxia first noted before onset of labour
P20.1 Intrauterine hypoxia first noted during labour and delivery
P20.9 Intrauterine hypoxia, unspecified

P21 Birth asphyxia

Note:

This category is not to be used for low Apgar score without mention of asphyxia or other respiratory problems.

Excl.:
intrauterine hypoxia or asphyxia (P20.-)
P21.0 Severe birth asphyxia
Additional Text

Pulse less than 100 per minute at birth and falling or steady, respiration absent or gasping, colour poor, tone absent.

Incl.:
Asphyxia with 1-minute Apgar score 0-3
White asphyxia
P21.1 Mild and moderate birth asphyxia
Additional Text

Normal respiration not established within one minute, but heart rate 100 or above, some muscle tone present, some response to stimulation.

Incl.:
Asphyxia with 1-minute Apgar score 4-7
Blue asphyxia
P21.9 Birth asphyxia, unspecified
Incl.:
  • Anoxia
  • Asphyxia
  • Hypoxia
  • NOS

P22 Respiratory distress of newborn

Excl.:
respiratory failure of newborn (P28.5)
P22.0 Respiratory distress syndrome of newborn
Incl.:
Hyaline membrane disease
P22.1 Transient tachypnoea of newborn
P22.8 Other respiratory distress of newborn
P22.9 Respiratory distress of newborn, unspecified

P23 Congenital pneumonia

Incl.:
infective pneumonia acquired in utero or during birth
Excl.:
neonatal pneumonia resulting from aspiration (P24.-)
P23.0 Congenital pneumonia due to viral agent
Excl.:
congenital rubella pneumonitis (P35.0)
P23.1 Congenital pneumonia due to Chlamydia
P23.2 Congenital pneumonia due to staphylococcus
P23.3 Congenital pneumonia due to streptococcus, group B
P23.4 Congenital pneumonia due to Escherichia coli
P23.5 Congenital pneumonia due to Pseudomonas
P23.6 Congenital pneumonia due to other bacterial agents
Incl.:
Haemophilus influenzae
Klebsiella pneumoniae
Mycoplasma
Streptococcus, except group B
P23.8 Congenital pneumonia due to other organisms
P23.9 Congenital pneumonia, unspecified

P24 Neonatal aspiration syndromes

Incl.:
neonatal pneumonia resulting from aspiration
P24.0 Neonatal aspiration of meconium
P24.1 Neonatal aspiration of amniotic fluid and mucus
Incl.:
Aspiration of liquor (amnii)
P24.2 Neonatal aspiration of blood
P24.3 Neonatal aspiration of milk and regurgitated food
P24.8 Other neonatal aspiration syndromes
P24.9 Neonatal aspiration syndrome, unspecified
Incl.:
Neonatal aspiration pneumonia NOS

P25 Interstitial emphysema and related conditions originating in the perinatal period

P25.0 Interstitial emphysema originating in the perinatal period
P25.1 Pneumothorax originating in the perinatal period
P25.2 Pneumomediastinum originating in the perinatal period
P25.3 Pneumopericardium originating in the perinatal period
P25.8 Other conditions related to interstitial emphysema originating in the perinatal period

P26 Pulmonary haemorrhage originating in the perinatal period

P26.0 Tracheobronchial haemorrhage originating in the perinatal period
P26.1 Massive pulmonary haemorrhage originating in the perinatal period
P26.8 Other pulmonary haemorrhages originating in the perinatal period
P26.9 Unspecified pulmonary haemorrhage originating in the perinatal period

P27 Chronic respiratory disease originating in the perinatal period

P27.0 Wilson-Mikity syndrome
Incl.:
Pulmonary dysmaturity
P27.1 Bronchopulmonary dysplasia originating in the perinatal period
P27.8 Other chronic respiratory diseases originating in the perinatal period
Incl.:
Congenital pulmonary fibrosis
Ventilator lung in newborn
P27.9 Unspecified chronic respiratory disease originating in the perinatal period

P28 Other respiratory conditions originating in the perinatal period

Excl.:
congenital malformations of the respiratory system (Q30-Q34)
P28.0 Primary atelectasis of newborn
Incl.:
Primary failure to expand terminal respiratory units
Pulmonary:
  • hypoplasia associated with short gestation
  • immaturity NOS
P28.1 Other and unspecified atelectasis of newborn
Incl.:
Atelectasis:
  • NOS
  • partial
  • secondary
Resorption atelectasis without respiratory distress syndrome
P28.2 Cyanotic attacks of newborn
Excl.:
apnoea of newborn (P28.3-P28.4)
P28.3 Primary sleep apnoea of newborn
Incl.:
Sleep apnoea of newborn:
  • central
  • NOS
  • obstructive
P28.4 Other apnoea of newborn
Incl.:
Apnoea (of):
  • newborn, obstructive
  • prematurity
Excl.:
obstructive sleep apnoea of newborn (P28.3)
P28.5 Respiratory failure of newborn
P28.8 Other specified respiratory conditions of newborn
Incl.:
Congenital (laryngeal) stridor NOS
Snuffles in newborn
Excl.:
early congenital syphilitic rhinitis (A50.0)
P28.9 Respiratory condition of newborn, unspecified

P29 Cardiovascular disorders originating in the perinatal period

Excl.:
congenital malformations of the circulatory system (Q20-Q28)
P29.0 Neonatal cardiac failure
P29.1 Neonatal cardiac dysrhythmia
P29.2 Neonatal hypertension
P29.3 Persistent fetal circulation
Incl.:
Delayed closure of ductus arteriosus
Pulmonary hypertension of newborn (persistent)
P29.4 Transient myocardial ischaemia of newborn
P29.8 Other cardiovascular disorders originating in the perinatal period
P29.9 Cardiovascular disorder originating in the perinatal period, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVI
Certain conditions originating in the perinatal period
(P00-P96)

Infections specific to the perinatal period
(P35-P39)

Incl.:
infections acquired in utero or during birth
Excl.:
asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
congenital:
human immunodeficiency virus [HIV] disease (B20-B24)
infectious diseases acquired after birth (A00-B99, J09-J11)
intestinal infectious diseases (A00-A09)
laboratory evidence of human immunodeficiency virus [HIV] (R75)
maternal infectious disease as a cause of mortality or morbidity in fetus or newborn not itself manifesting the disease (P00.2)
tetanus neonatorum (A33)

P35 Congenital viral diseases

P35.0 Congenital rubella syndrome
Incl.:
Congenital rubella pneumonitis
P35.1 Congenital cytomegalovirus infection
P35.2 Congenital herpesviral [herpes simplex] infection
P35.3 Congenital viral hepatitis
P35.8 Other congenital viral diseases
Incl.:
Congenital varicella [chickenpox]
P35.9 Congenital viral disease, unspecified

P36 Bacterial sepsis of newborn

Incl.:
congenital septicaemia
P36.0 Sepsis of newborn due to streptococcus, group B
P36.1 Sepsis of newborn due to other and unspecified streptococci
P36.2 Sepsis of newborn due to Staphylococcus aureus
P36.3 Sepsis of newborn due to other and unspecified staphylococci
P36.4 Sepsis of newborn due to Escherichia coli
P36.5 Sepsis of newborn due to anaerobes
P36.8 Other bacterial sepsis of newborn
P36.9 Bacterial sepsis of newborn, unspecified

P37 Other congenital infectious and parasitic diseases

Excl.:
congenital syphilis (A50.-)
necrotizing enterocolitis of fetus or newborn (P77)
neonatal diarrhoea:
ophthalmia neonatorum due to gonococcus (A54.3)
tetanus neonatorum (A33)
P37.0 Congenital tuberculosis
P37.1 Congenital toxoplasmosis
Incl.:
Hydrocephalus due to congenital toxoplasmosis
P37.2 Neonatal (disseminated) listeriosis
P37.3 Congenital falciparum malaria
P37.4 Other congenital malaria
P37.5 Neonatal candidiasis
P37.8 Other specified congenital infectious and parasitic diseases
P37.9 Congenital infectious and parasitic disease, unspecified

P38 Omphalitis of newborn with or without mild haemorrhage

P39 Other infections specific to the perinatal period

P39.0 Neonatal infective mastitis
Excl.:
breast engorgement of newborn (P83.4)
noninfective mastitis of newborn (P83.4)
P39.1 Neonatal conjunctivitis and dacryocystitis
Incl.:
Neonatal chlamydial conjunctivitis
Ophthalmia neonatorum NOS
Excl.:
gonococcal conjunctivitis (A54.3)
P39.2 Intra-amniotic infection of fetus, not elsewhere classified
P39.3 Neonatal urinary tract infection
P39.4 Neonatal skin infection
Incl.:
Neonatal pyoderma
Excl.:
pemphigus neonatorum (L00)
staphylococcal scalded skin syndrome (L00)
P39.8 Other specified infections specific to the perinatal period
P39.9 Infection specific to the perinatal period, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVI
Certain conditions originating in the perinatal period
(P00-P96)

Haemorrhagic and haematological disorders of fetus and newborn
(P50-P61)

Excl.:
congenital stenosis and stricture of bile ducts (Q44.3)
Crigler-Najjar syndrome (E80.5)
Dubin-Johnson syndrome (E80.6)
Gilbert syndrome (E80.4)
hereditary haemolytic anaemias (D55-D58)

P50 Fetal blood loss

Excl.:
congenital anaemia from fetal blood loss (P61.3)
P50.0 Fetal blood loss from vasa praevia
P50.1 Fetal blood loss from ruptured cord
P50.2 Fetal blood loss from placenta
P50.3 Haemorrhage into co-twin
P50.4 Haemorrhage into maternal circulation
P50.5 Fetal blood loss from cut end of co-twin's cord
P50.8 Other fetal blood loss
P50.9 Fetal blood loss, unspecified
Incl.:
Fetal haemorrhage NOS

P51 Umbilical haemorrhage of newborn

Excl.:
omphalitis with mild haemorrhage (P38)
P51.0 Massive umbilical haemorrhage of newborn
P51.8 Other umbilical haemorrhages of newborn
Incl.:
Slipped umbilical ligature NOS
P51.9 Umbilical haemorrhage of newborn, unspecified

P52 Intracranial nontraumatic haemorrhage of fetus and newborn

Incl.:
intracranial haemorrhage due to anoxia or hypoxia
Excl.:
intracranial haemorrhage due to injury:
P52.0 Intraventricular (nontraumatic) haemorrhage, grade 1, of fetus and newborn
Incl.:
Subependymal haemorrhage (without intraventricular extension)
P52.1 Intraventricular (nontraumatic) haemorrhage, grade 2, of fetus and newborn
Incl.:
Subependymal haemorrhage with intraventricular extension
P52.2 Intraventricular (nontraumatic) haemorrhage, grade 3, and grade 4 of fetus and newborn
Incl.:
Subependymal haemorrhage with both intraventricular and intracerebral extension
P52.3 Unspecified intraventricular (nontraumatic) haemorrhage of fetus and newborn
P52.4 Intracerebral (nontraumatic) haemorrhage of fetus and newborn
P52.5 Subarachnoid (nontraumatic) haemorrhage of fetus and newborn
P52.6 Cerebellar (nontraumatic) and posterior fossa haemorrhage of fetus and newborn
P52.8 Other intracranial (nontraumatic) haemorrhages of fetus and newborn
P52.9 Intracranial (nontraumatic) haemorrhage of fetus and newborn, unspecified

P53 Haemorrhagic disease of fetus and newborn

Incl.:
Vitamin K deficiency of newborn

P54 Other neonatal haemorrhages

Excl.:
fetal blood loss (P50.-)
pulmonary haemorrhage originating in the perinatal period (P26.-)
P54.0 Neonatal haematemesis
Excl.:
that due to swallowed maternal blood (P78.2)
P54.1 Neonatal melaena
Excl.:
that due to swallowed maternal blood (P78.2)
P54.2 Neonatal rectal haemorrhage
P54.3 Other neonatal gastrointestinal haemorrhage
P54.4 Neonatal adrenal haemorrhage
P54.5 Neonatal cutaneous haemorrhage
Incl.:
  • Bruising
  • Ecchymoses
  • Petechiae
  • Superficial haematomata
  • in fetus or newborn
Excl.:
bruising of scalp due to birth injury (P12.3)
cephalhaematoma due to birth injury (P12.0)
P54.6 Neonatal vaginal haemorrhage
Incl.:
Pseudomenses
P54.8 Other specified neonatal haemorrhages
P54.9 Neonatal haemorrhage, unspecified

P55 Haemolytic disease of fetus and newborn

P55.0 Rh isoimmunization of fetus and newborn
P55.1 ABO isoimmunization of fetus and newborn
P55.8 Other haemolytic diseases of fetus and newborn
P55.9 Haemolytic disease of fetus and newborn, unspecified

P56 Hydrops fetalis due to haemolytic disease

Excl.:
hydrops fetalis NOS (P83.2)
hydrops fetalis NOS
  • not due to haemolytic disease (P83.2)
P56.0 Hydrops fetalis due to isoimmunization
P56.9 Hydrops fetalis due to other and unspecified haemolytic disease

P57 Kernicterus

P57.0 Kernicterus due to isoimmunization
P57.8 Other specified kernicterus
Excl.:
Crigler-Najjar syndrome (E80.5)
P57.9 Kernicterus, unspecified

P58 Neonatal jaundice due to other excessive haemolysis

Excl.:
jaundice due to isoimmunization (P55-P57)
P58.0 Neonatal jaundice due to bruising
P58.1 Neonatal jaundice due to bleeding
P58.2 Neonatal jaundice due to infection
P58.3 Neonatal jaundice due to polycythaemia
P58.4 Neonatal jaundice due to drugs or toxins transmitted from mother or given to newborn
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
P58.5 Neonatal jaundice due to swallowed maternal blood
P58.8 Neonatal jaundice due to other specified excessive haemolysis
P58.9 Neonatal jaundice due to excessive haemolysis, unspecified

P59 Neonatal jaundice from other and unspecified causes

Excl.:
due to inborn errors of metabolism (E70-E90)
kernicterus (P57.-)
P59.0 Neonatal jaundice associated with preterm delivery
Incl.:
Hyperbilirubinaemia of prematurity
Jaundice due to delayed conjugation associated with preterm delivery
P59.1 Inspissated bile syndrome
P59.2 Neonatal jaundice from other and unspecified hepatocellular damage
Incl.:
Fetal or neonatal giant cell hepatitis
Fetal or neonatal (idiopathic) hepatitis
Excl.:
congenital viral hepatitis (P35.3)
P59.3 Neonatal jaundice from breast milk inhibitor
P59.8 Neonatal jaundice from other specified causes
P59.9 Neonatal jaundice, unspecified
Incl.:
Physiological jaundice (intense)(prolonged) NOS

P60 Disseminated intravascular coagulation of fetus and newborn

Incl.:
Defibrination syndrome of fetus or newborn

P61 Other perinatal haematological disorders

Excl.:
transient hypogammaglobulinaemia of infancy (D80.7)
P61.0 Transient neonatal thrombocytopenia
Incl.:
Neonatal thrombocytopenia due to:
  • exchange transfusion
  • idiopathic maternal thrombocytopenia
  • isoimmunization
P61.1 Polycythaemia neonatorum
P61.2 Anaemia of prematurity
P61.3 Congenital anaemia from fetal blood loss
P61.4 Other congenital anaemias, not elsewhere classified
Incl.:
Congenital anaemia NOS
P61.5 Transient neonatal neutropenia
P61.6 Other transient neonatal disorders of coagulation
P61.8 Other specified perinatal haematological disorders
P61.9 Perinatal haematological disorder, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVI
Certain conditions originating in the perinatal period
(P00-P96)

Transitory endocrine and metabolic disorders specific to fetus and newborn
(P70-P74)

Incl.:
transitory endocrine and metabolic disturbances caused by the infant's response to maternal endocrine and metabolic factors, or its adjustment to extrauterine existence

P70 Transitory disorders of carbohydrate metabolism specific to fetus and newborn

P70.0 Syndrome of infant of mother with gestational diabetes
Incl.:
Fetus or newborn (with hypoglycaemia) affected by maternal gestational diabetes
P70.1 Syndrome of infant of a diabetic mother
Incl.:
Fetus or newborn (with hypoglycaemia) affected by maternal diabetes mellitus (pre-existing)
P70.2 Neonatal diabetes mellitus
P70.3 Iatrogenic neonatal hypoglycaemia
P70.4 Other neonatal hypoglycaemia
Incl.:
Transitory neonatal hypoglycaemia
P70.8 Other transitory disorders of carbohydrate metabolism of fetus and newborn
P70.9 Transitory disorder of carbohydrate metabolism of fetus and newborn, unspecified

P71 Transitory neonatal disorders of calcium and magnesium metabolism

P71.0 Cow milk hypocalcaemia in newborn
P71.1 Other neonatal hypocalcaemia
Excl.:
neonatal hypoparathyroidism (P71.4)
P71.2 Neonatal hypomagnesaemia
P71.3 Neonatal tetany without calcium or magnesium deficiency
Incl.:
Neonatal tetany NOS
P71.4 Transitory neonatal hypoparathyroidism
P71.8 Other transitory neonatal disorders of calcium and magnesium metabolism
P71.9 Transitory neonatal disorder of calcium and magnesium metabolism, unspecified

P72 Other transitory neonatal endocrine disorders

Excl.:
congenital hypothyroidism with or without goitre (E03.0-E03.1)
dyshormogenetic goitre (E07.1)
Pendred syndrome (E07.1)
P72.0 Neonatal goitre, not elsewhere classified
Incl.:
Transitory congenital goitre with normal function
P72.1 Transitory neonatal hyperthyroidism
Incl.:
Neonatal thyrotoxicosis
P72.2 Other transitory neonatal disorders of thyroid function, not elsewhere classified
Incl.:
Transitory neonatal hypothyroidism
P72.8 Other specified transitory neonatal endocrine disorders
P72.9 Transitory neonatal endocrine disorder, unspecified

P74 Other transitory neonatal electrolyte and metabolic disturbances

P74.0 Late metabolic acidosis of newborn
P74.1 Dehydration of newborn
P74.2 Disturbances of sodium balance of newborn
P74.3 Disturbances of potassium balance of newborn
P74.4 Other transitory electrolyte disturbances of newborn
P74.5 Transitory tyrosinaemia of newborn
P74.8 Other transitory metabolic disturbances of newborn
P74.9 Transitory metabolic disturbance of newborn, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVI
Certain conditions originating in the perinatal period
(P00-P96)

P75* Meconium ileus in cystic fibrosis (E84.1†)

P76 Other intestinal obstruction of newborn

P76.0 Meconium plug syndrome
Coding-Hint
Meconium ileus in cases where cystic fibrosis is known not to be present.
P76.1 Transitory ileus of newborn
Excl.:
Hirschsprung disease (Q43.1)
P76.2 Intestinal obstruction due to inspissated milk
P76.8 Other specified intestinal obstruction of newborn
Excl.:
intestinal obstruction classifiable to K56.0-K56.5
P76.9 Intestinal obstruction of newborn, unspecified

P77 Necrotizing enterocolitis of fetus and newborn

P78 Other perinatal digestive system disorders

Excl.:
neonatal gastrointestinal haemorrhages (P54.0-P54.3)
P78.0 Perinatal intestinal perforation
Incl.:
Meconium peritonitis
P78.1 Other neonatal peritonitis
Incl.:
Neonatal peritonitis NOS
P78.2 Neonatal haematemesis and melaena due to swallowed maternal blood
P78.3 Noninfective neonatal diarrhoea
Excl.:
neonatal diarrhoea:
P78.8 Other specified perinatal digestive system disorders
Incl.:
Congenital cirrhosis (of liver)
Neonatal oesophageal reflux
Peptic ulcer of newborn
P78.9 Perinatal digestive system disorder, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVI
Certain conditions originating in the perinatal period
(P00-P96)

P80 Hypothermia of newborn

P80.0 Cold injury syndrome
Additional Text

Severe and usually chronic hypothermia associated with a pink flushed appearance, oedema and neurological and biochemical abnormalities.

Excl.:
mild hypothermia of newborn (P80.8)
P80.8 Other hypothermia of newborn
Incl.:
Mild hypothermia of newborn
P80.9 Hypothermia of newborn, unspecified

P81 Other disturbances of temperature regulation of newborn

P81.0 Environmental hyperthermia of newborn
P81.8 Other specified disturbances of temperature regulation of newborn
P81.9 Disturbance of temperature regulation of newborn, unspecified
Incl.:
Fever of newborn NOS

P83 Other conditions of integument specific to fetus and newborn

Excl.:
congenital malformations of skin and integument (Q80-Q84)
cradle cap (L21.0)
diaper [napkin] dermatitis (L22)
hydrops fetalis due to haemolytic disease (P56.-)
neonatal skin infection (P39.4)
staphylococcal scalded skin syndrome (L00)
P83.0 Sclerema neonatorum
P83.1 Neonatal erythema toxicum
P83.2 Hydrops fetalis not due to haemolytic disease
Incl.:
Hydrops fetalis NOS
P83.3 Other and unspecified oedema specific to fetus and newborn
P83.4 Breast engorgement of newborn
Incl.:
Noninfective mastitis of newborn
P83.5 Congenital hydrocele
P83.6 Umbilical polyp of newborn
P83.8 Other specified conditions of integument specific to fetus and newborn
Incl.:
Bronze baby syndrome
Neonatal scleroderma
Urticaria neonatorum
P83.9 Condition of integument specific to fetus and newborn, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVI
Certain conditions originating in the perinatal period
(P00-P96)

P90 Convulsions of newborn

Excl.:
benign neonatal convulsions (familial) (G40.3)

P91 Other disturbances of cerebral status of newborn

P91.0 Neonatal cerebral ischaemia
P91.1 Acquired periventricular cysts of newborn
P91.2 Neonatal cerebral leukomalacia
P91.3 Neonatal cerebral irritability
P91.4 Neonatal cerebral depression
P91.5 Neonatal coma
P91.6 Hypoxic ischaemic encephalopathy of newborn
P91.7 Acquired hydrocephalus of newborn
Incl.:
Posthaemorrhagic hydrocephalus of newborn
P91.8 Other specified disturbances of cerebral status of newborn
P91.9 Disturbance of cerebral status of newborn, unspecified

P92 Feeding problems of newborn

P92.0 Vomiting in newborn
P92.1 Regurgitation and rumination in newborn
P92.2 Slow feeding of newborn
P92.3 Underfeeding of newborn
P92.4 Overfeeding of newborn
P92.5 Neonatal difficulty in feeding at breast
P92.8 Other feeding problems of newborn
P92.9 Feeding problem of newborn, unspecified

P93 Reactions and intoxications due to drugs administered to fetus and newborn

Incl.:
Grey syndrome from chloramphenicol administration in newborn
Excl.:
jaundice due to drugs or toxins transmitted from mother or given to newborn (P58.4)
reactions and intoxications from maternal opiates, tranquillizers and other medication (P04.0-P04.1, P04.4)
withdrawal symptoms from:
  • maternal use of drugs of addiction (P96.1)
  • therapeutic use of drugs in newborn (P96.2)

P94 Disorders of muscle tone of newborn

P94.0 Transient neonatal myasthenia gravis
Excl.:
myasthenia gravis (G70.0)
P94.1 Congenital hypertonia
P94.2 Congenital hypotonia
Incl.:
Nonspecific floppy baby syndrome
P94.8 Other disorders of muscle tone of newborn
P94.9 Disorder of muscle tone of newborn, unspecified

P95 Fetal death of unspecified cause

Incl.:
Deadborn fetus NOS
Stillbirth NOS

P96 Other conditions originating in the perinatal period

P96.0 Congenital renal failure
Incl.:
Uraemia of newborn
P96.1 Neonatal withdrawal symptoms from maternal use of drugs of addiction
Incl.:
Drug withdrawal syndrome in infant of dependent mother
Neonatal abstinence syndrome
Excl.:
reactions and intoxications from maternal opiates and tranquillizers administered during labour and delivery (P04.0)
P96.2 Withdrawal symptoms from therapeutic use of drugs in newborn
P96.3 Wide cranial sutures of newborn
Incl.:
Neonatal craniotabes
P96.4 Termination of pregnancy, affecting fetus and newborn
Excl.:
termination of pregnancy (affecting mother) (O04.-)
P96.5 Complications of intrauterine procedures, not elsewhere classified
P96.8 Other specified conditions originating in the perinatal period
P96.9 Condition originating in the perinatal period, unspecified
Incl.:
Congenital debility NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVII
Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)

Q00 Anencephaly and similar malformations

Q00.0 Anencephaly
Incl.:
Acephaly
Acrania
Amyelencephaly
Hemianencephaly
Hemicephaly
Q00.1 Craniorachischisis
Q00.2 Iniencephaly

Q01 Encephalocele

Incl.:
encephalomyelocele
hydroencephalocele
hydromeningocele, cranial
meningocele, cerebral
meningoencephalocele
Excl.:
Meckel-Gruber syndrome (Q61.9)
Q01.0 Frontal encephalocele
Q01.1 Nasofrontal encephalocele
Q01.2 Occipital encephalocele
Q01.8 Encephalocele of other sites
Q01.9 Encephalocele, unspecified

Q02 Microcephaly

Incl.:
Hydromicrocephaly
Micrencephalon
Excl.:
Meckel-Gruber syndrome (Q61.9)

Q03 Congenital hydrocephalus

Incl.:
hydrocephalus in newborn
Excl.:
Arnold-Chiari syndrome (Q07.0)
hydrocephalus:
Q03.0 Malformations of aqueduct of Sylvius
Incl.:
Aqueduct of Sylvius:
  • anomaly
  • obstruction, congenital
  • stenosis
Q03.1 Atresia of foramina of Magendie and Luschka
Incl.:
Dandy-Walker syndrome
Q03.8 Other congenital hydrocephalus
Q03.9 Congenital hydrocephalus, unspecified

Q04 Other congenital malformations of brain

Excl.:
cyclopia (Q87.0)
macrocephaly (Q75.3)
Q04.0 Congenital malformations of corpus callosum
Incl.:
Agenesis of corpus callosum
Q04.1 Arhinencephaly
Q04.2 Holoprosencephaly
Q04.3 Other reduction deformities of brain
Incl.:
  • Absence
  • Agenesis
  • Aplasia
  • Hypoplasia
  • of part of brain
Agyria
Hydranencephaly
Lissencephaly
Microgyria
Pachygyria
Excl.:
congenital malformations of corpus callosum (Q04.0)
Q04.4 Septo-optic dysplasia
Q04.5 Megalencephaly
Q04.6 Congenital cerebral cysts
Incl.:
Porencephaly
Schizencephaly
Excl.:
acquired porencephalic cyst (G93.0)
Q04.8 Other specified congenital malformations of brain
Incl.:
Macrogyria
Q04.9 Congenital malformation of brain, unspecified
Incl.:
  • Congenital:
    • anomaly
    • deformity
    • disease or lesion
    • multiple anomalies
  • NOS of brain

Q05 Spina bifida

Incl.:
hydromeningocele (spinal)
meningocele (spinal)
meningomyelocele
myelocele
myelomeningocele
rachischisis
spina bifida (aperta)(cystica)
syringomyelocele
Excl.:
Arnold-Chiari syndrome (Q07.0)
spina bifida occulta (Q76.0)
Q05.0 Cervical spina bifida with hydrocephalus
Q05.1 Thoracic spina bifida with hydrocephalus
Incl.:
  • Spina bifida:
    • dorsal
    • thoracolumbar
  • with hydrocephalus
Q05.2 Lumbar spina bifida with hydrocephalus
Incl.:
Lumbosacral spina bifida with hydrocephalus
Q05.3 Sacral spina bifida with hydrocephalus
Q05.4 Unspecified spina bifida with hydrocephalus
Q05.5 Cervical spina bifida without hydrocephalus
Q05.6 Thoracic spina bifida without hydrocephalus
Incl.:
Spina bifida:
  • dorsal NOS
  • thoracolumbar NOS
Q05.7 Lumbar spina bifida without hydrocephalus
Incl.:
Lumbosacral spina bifida NOS
Q05.8 Sacral spina bifida without hydrocephalus
Q05.9 Spina bifida, unspecified

Q06 Other congenital malformations of spinal cord

Q06.0 Amyelia
Q06.1 Hypoplasia and dysplasia of spinal cord
Incl.:
Atelomyelia
Myelatelia
Myelodysplasia of spinal cord
Q06.2 Diastematomyelia
Q06.3 Other congenital cauda equina malformations
Q06.4 Hydromyelia
Incl.:
Hydrorachis
Q06.8 Other specified congenital malformations of spinal cord
Q06.9 Congenital malformation of spinal cord, unspecified
Incl.:
  • Congenital:
    • anomaly
    • deformity
    • disease or lesion
  • NOS of spinal cord or meninges

Q07 Other congenital malformations of nervous system

Excl.:
familial dysautonomia [Riley-Day] (G90.1)
neurofibromatosis (nonmalignant) (Q85.0)
Q07.0 Arnold-Chiari syndrome
Q07.8 Other specified congenital malformations of nervous system
Incl.:
Agenesis of nerve
Displacement of brachial plexus
Jaw-winking syndrome
Marcus Gunn syndrome
Q07.9 Congenital malformation of nervous system, unspecified
Incl.:
  • Congenital:
    • anomaly
    • deformity
    • disease or lesion
  • NOS of nervous system

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVII
Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)

Congenital malformations of eye, ear, face and neck
(Q10-Q18)

Excl.:
cleft lip and cleft palate (Q35-Q37)
congenital malformation of:

Q10 Congenital malformations of eyelid, lacrimal apparatus and orbit

Excl.:
cryptophthalmos:
Q10.0 Congenital ptosis
Q10.1 Congenital ectropion
Q10.2 Congenital entropion
Q10.3 Other congenital malformations of eyelid
Incl.:
Ablepharon
Absence or agenesis of:
  • cilia
  • eyelid
Accessory:
  • eye muscle
Blepharophimosis, congenital
Coloboma of eyelid
Congenital malformation of eyelid NOS
Q10.4 Absence and agenesis of lacrimal apparatus
Incl.:
Absence of punctum lacrimale
Q10.5 Congenital stenosis and stricture of lacrimal duct
Q10.6 Other congenital malformations of lacrimal apparatus
Incl.:
Congenital malformation of lacrimal apparatus NOS
Q10.7 Congenital malformation of orbit

Q11 Anophthalmos, microphthalmos and macrophthalmos

Q11.0 Cystic eyeball
Q11.1 Other anophthalmos
Incl.:
  • Agenesis
  • Aplasia
  • of eye
Q11.2 Microphthalmos
Incl.:
Cryptophthalmos NOS
Dysplasia of eye
Hypoplasia of eye
Rudimentary eye
Excl.:
cryptophthalmos syndrome (Q87.0)
Q11.3 Macrophthalmos
Excl.:
macrophthalmos in congenital glaucoma (Q15.0)

Q12 Congenital lens malformations

Q12.0 Congenital cataract
Q12.1 Congenital displaced lens
Q12.2 Coloboma of lens
Q12.3 Congenital aphakia
Q12.4 Spherophakia
Q12.8 Other congenital lens malformations
Q12.9 Congenital lens malformation, unspecified

Q13 Congenital malformations of anterior segment of eye

Q13.0 Coloboma of iris
Incl.:
Coloboma NOS
Q13.1 Absence of iris
Incl.:
Aniridia
Q13.2 Other congenital malformations of iris
Incl.:
Anisocoria, congenital
Atresia of pupil
Congenital malformation of iris NOS
Corectopia
Q13.3 Congenital corneal opacity
Q13.4 Other congenital corneal malformations
Incl.:
Congenital malformation of cornea NOS
Microcornea
Peter anomaly
Q13.5 Blue sclera
Q13.8 Other congenital malformations of anterior segment of eye
Incl.:
Rieger anomaly
Q13.9 Congenital malformation of anterior segment of eye, unspecified

Q14 Congenital malformations of posterior segment of eye

Q14.0 Congenital malformation of vitreous humour
Incl.:
Congenital vitreous opacity
Q14.1 Congenital malformation of retina
Incl.:
Congenital retinal aneurysm
Q14.2 Congenital malformation of optic disc
Incl.:
Coloboma of optic disc
Q14.3 Congenital malformation of choroid
Q14.8 Other congenital malformations of posterior segment of eye
Incl.:
Coloboma of the fundus
Q14.9 Congenital malformation of posterior segment of eye, unspecified

Q15 Other congenital malformations of eye

Excl.:
congenital nystagmus (H55)
ocular albinism (E70.3)
retinitis pigmentosa (H35.5)
Q15.0 Congenital glaucoma
Incl.:
Buphthalmos
Glaucoma of newborn
Hydrophthalmos
Keratoglobus, congenital, with glaucoma
Macrocornea with glaucoma
Macrophthalmos in congenital glaucoma
Megalocornea with glaucoma
Q15.8 Other specified congenital malformations of eye
Q15.9 Congenital malformation of eye, unspecified
Incl.:
  • Congenital:
    • anomaly
    • deformity
  • NOS of eye

Q16 Congenital malformations of ear causing impairment of hearing

Excl.:
congenital deafness (H90.-)
Q16.0 Congenital absence of (ear) auricle
Q16.1 Congenital absence, atresia and stricture of auditory canal (external)
Incl.:
Atresia or stricture of osseous meatus
Q16.2 Absence of eustachian tube
Q16.3 Congenital malformation of ear ossicles
Incl.:
Fusion of ear ossicles
Q16.4 Other congenital malformations of middle ear
Incl.:
Congenital malformation of middle ear NOS
Q16.5 Congenital malformation of inner ear
Incl.:
Anomaly:
  • membranous labyrinth
  • organ of Corti
Q16.9 Congenital malformation of ear causing impairment of hearing, unspecified
Incl.:
Congenital absence of ear NOS

Q17 Other congenital malformations of ear

Excl.:
preauricular sinus (Q18.1)
Q17.0 Accessory auricle
Incl.:
Accessory tragus
Polyotia
Preauricular appendage or tag
Supernumerary:
  • ear
  • lobule
Q17.1 Macrotia
Q17.2 Microtia
Q17.3 Other misshapen ear
Incl.:
Pointed ear
Q17.4 Misplaced ear
Incl.:
Low-set ears
Excl.:
cervical auricle (Q18.2)
Q17.5 Prominent ear
Incl.:
Bat ear
Q17.8 Other specified congenital malformations of ear
Incl.:
Congenital absence of lobe of ear
Q17.9 Congenital malformation of ear, unspecified
Incl.:
Congenital anomaly of ear NOS

Q18 Other congenital malformations of face and neck

Excl.:
cleft lip and cleft palate (Q35-Q37)
conditions classified to Q67.0-Q67.4
congenital malformations of skull and face bones (Q75.-)
cyclopia (Q87.0)
dentofacial anomalies [including malocclusion] (K07.-)
malformation syndromes affecting facial appearance (Q87.0)
persistent thyroglossal duct (Q89.2)
Q18.0 Sinus, fistula and cyst of branchial cleft
Incl.:
Branchial vestige
Q18.1 Preauricular sinus and cyst
Incl.:
Fistula (of):
  • auricle, congenital
  • cervicoaural
Pretragal sinus and cyst
Q18.2 Other branchial cleft malformations
Incl.:
Branchial cleft malformation NOS
Cervical auricle
Otocephaly
Q18.3 Webbing of neck
Incl.:
Pterygium colli
Q18.4 Macrostomia
Q18.5 Microstomia
Q18.6 Macrocheilia
Incl.:
Hypertrophy of lip, congenital
Q18.7 Microcheilia
Q18.8 Other specified congenital malformations of face and neck
Incl.:
  • Medial:
    • cyst
    • fistula
    • sinus
  • of face and neck
Q18.9 Congenital malformation of face and neck, unspecified
Incl.:
Congenital anomaly NOS of face and neck

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVII
Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)

Q20 Congenital malformations of cardiac chambers and connections

Excl.:
dextrocardia with situs inversus (Q89.3)
mirror-image atrial arrangement with situs inversus (Q89.3)
Q20.0 Common arterial trunk
Incl.:
Persistent truncus arteriosus
Q20.1 Double outlet right ventricle
Incl.:
Taussig-Bing syndrome
Q20.2 Double outlet left ventricle
Q20.3 Discordant ventriculoarterial connection
Incl.:
Dextrotransposition of aorta
Transposition of great vessels (complete)
Q20.4 Double inlet ventricle
Incl.:
Common ventricle
Cor triloculare biatriatum
Single ventricle
Q20.5 Discordant atrioventricular connection
Incl.:
Corrected transposition
Laevotransposition
Ventricular inversion
Q20.6 Isomerism of atrial appendages
Incl.:
Isomerism of atrial appendages with asplenia or polysplenia
Q20.8 Other congenital malformations of cardiac chambers and connections
Q20.9 Congenital malformation of cardiac chambers and connections, unspecified

Q21 Congenital malformations of cardiac septa

Excl.:
acquired cardiac septal defect (I51.0)
Q21.0 Ventricular septal defect
Q21.1 Atrial septal defect
Incl.:
Coronary sinus defect
Patent or persistent:
  • foramen ovale
  • ostium secundum defect (type II)
Sinus venosus defect
Q21.2 Atrioventricular septal defect
Incl.:
Common atrioventricular canal
Endocardial cushion defect
Ostium primum atrial septal defect (type I)
Q21.3 Tetralogy of Fallot
Additional Text

Ventricular septal defect with pulmonary stenosis or atresia, dextroposition of aorta and hypertrophy of right ventricle.

Q21.4 Aortopulmonary septal defect
Incl.:
Aortic septal defect
Aortopulmonary window
Q21.8 Other congenital malformations of cardiac septa
Incl.:
Eisenmenger defect
Pentalogy of Fallot
Excl.:
Eisenmenger
Q21.9 Congenital malformation of cardiac septum, unspecified
Incl.:
Septal (heart) defect NOS

Q22 Congenital malformations of pulmonary and tricuspid valves

Q22.0 Pulmonary valve atresia
Q22.1 Congenital pulmonary valve stenosis
Q22.2 Congenital pulmonary valve insufficiency
Incl.:
Congenital pulmonary valve regurgitation
Q22.3 Other congenital malformations of pulmonary valve
Incl.:
Congenital malformation of pulmonary valve NOS
Q22.4 Congenital tricuspid stenosis
Incl.:
Tricuspid atresia
Q22.5 Ebstein anomaly
Q22.6 Hypoplastic right heart syndrome
Q22.8 Other congenital malformations of tricuspid valve
Q22.9 Congenital malformation of tricuspid valve, unspecified

Q23 Congenital malformations of aortic and mitral valves

Q23.0 Congenital stenosis of aortic valve
Incl.:
Congenital aortic:
  • atresia
  • stenosis
Excl.:
congenital subaortic stenosis (Q24.4)
that in hypoplastic left heart syndrome (Q23.4)
Q23.1 Congenital insufficiency of aortic valve
Incl.:
Bicuspid aortic valve
Congenital aortic insufficiency
Q23.2 Congenital mitral stenosis
Incl.:
Congenital mitral atresia
Q23.3 Congenital mitral insufficiency
Q23.4 Hypoplastic left heart syndrome
Additional Text

Atresia, or marked hypoplasia of aortic orifice or valve, with hypoplasia of ascending aorta and defective development of left ventricle (with mitral valve stenosis or atresia).

Q23.8 Other congenital malformations of aortic and mitral valves
Q23.9 Congenital malformation of aortic and mitral valves, unspecified

Q24 Other congenital malformations of heart

Excl.:
endocardial fibroelastosis (I42.4)
Q24.0 Dextrocardia
Excl.:
dextrocardia with situs inversus (Q89.3)
isomerism of atrial appendages (with asplenia or polysplenia) (Q20.6)
mirror-image atrial arrangement with situs inversus (Q89.3)
Q24.1 Laevocardia
Definition

Location of heart in left hemithorax with apex pointing to the left, but with situs inversus of other viscera and defects of the heart, or corrected transposition of great vessels.

Q24.2 Cor triatriatum
Q24.3 Pulmonary infundibular stenosis
Q24.4 Congenital subaortic stenosis
Q24.5 Malformation of coronary vessels
Incl.:
Congenital coronary (artery) aneurysm
Q24.6 Congenital heart block
Q24.8 Other specified congenital malformations of heart
Incl.:
Congenital:
  • diverticulum of left ventricle
  • malformation of:
    • myocardium
    • pericardium
Malposition of heart
Uhl disease
Q24.9 Congenital malformation of heart, unspecified
Incl.:
  • Congenital:
    • anomaly
    • disease
  • NOS of heart

Q25 Congenital malformations of great arteries

Q25.0 Patent ductus arteriosus
Incl.:
Patent ductus Botalli
Persistent ductus arteriosus
Q25.1 Coarctation of aorta
Incl.:
Coarctation of aorta (preductal)(postductal)
Q25.2 Atresia of aorta
Q25.3 Stenosis of aorta
Incl.:
Supravalvular aortic stenosis
Excl.:
congenital stenosis of aortic valve (Q23.0)
Q25.4 Other congenital malformations of aorta
Incl.:
  • Absence
  • Aplasia
  • Congenital:
    • aneurysm
    • dilatation
  • of aorta
Aneurysm of sinus of Valsalva (ruptured)
Double aortic arch [vascular ring of aorta]
Hypoplasia of aorta
Persistent:
  • convolutions of aortic arch
  • right aortic arch
Excl.:
hypoplasia of aorta in hypoplastic left heart syndrome (Q23.4)
Q25.5 Atresia of pulmonary artery
Q25.6 Stenosis of pulmonary artery
Incl.:
Supravalvular pulmonary stenosis
Q25.7 Other congenital malformations of pulmonary artery
Incl.:
Aberrant pulmonary artery
  • Agenesis
  • Aneurysm, congenital
  • Anomaly
  • Hypoplasia
  • of pulmonary artery
Pulmonary arteriovenous aneurysm
Q25.8 Other congenital malformations of great arteries
Q25.9 Congenital malformation of great arteries, unspecified

Q26 Congenital malformations of great veins

Q26.0 Congenital stenosis of vena cava
Incl.:
Congenital stenosis of vena cava (inferior)(superior)
Q26.1 Persistent left superior vena cava
Q26.2 Total anomalous pulmonary venous connection
Q26.3 Partial anomalous pulmonary venous connection
Q26.4 Anomalous pulmonary venous connection, unspecified
Q26.5 Anomalous portal venous connection
Q26.6 Portal vein-hepatic artery fistula
Q26.8 Other congenital malformations of great veins
Incl.:
Absence of vena cava (inferior)(superior)
Azygos continuation of inferior vena cava
Persistent left posterior cardinal vein
Scimitar syndrome
Q26.9 Congenital malformation of great vein, unspecified
Incl.:
Anomaly of vena cava (inferior)(superior) NOS

Q27 Other congenital malformations of peripheral vascular system

Excl.:
anomalies of:
congenital retinal aneurysm (Q14.1)
haemangioma and lymphangioma (D18.-)
Q27.0 Congenital absence and hypoplasia of umbilical artery
Incl.:
Single umbilical artery
Q27.1 Congenital renal artery stenosis
Q27.2 Other congenital malformations of renal artery
Incl.:
Congenital malformation of renal artery NOS
Multiple renal arteries
Q27.3 Peripheral arteriovenous malformation
Incl.:
Arteriovenous aneurysm
Excl.:
acquired arteriovenous aneurysm (I77.0)
Q27.4 Congenital phlebectasia
Q27.8 Other specified congenital malformations of peripheral vascular system
Incl.:
Aberrant subclavian artery
  • Absence
  • Atresia
  • of artery or vein NEC
Congenital:
  • aneurysm (peripheral)
  • stricture, artery
  • varix
Q27.9 Congenital malformation of peripheral vascular system, unspecified
Incl.:
Anomaly of artery or vein NOS

Q28 Other congenital malformations of circulatory system

Excl.:
congenital aneurysm:
ruptured:
  • cerebral arteriovenous malformation (I60.8)
  • malformation of precerebral vessels (I72.-)
Q28.0 Arteriovenous malformation of precerebral vessels
Incl.:
Congenital arteriovenous precerebral aneurysm (nonruptured)
Q28.1 Other malformations of precerebral vessels
Incl.:
Congenital:
  • malformation of precerebral vessels NOS
  • precerebral aneurysm (nonruptured)
Q28.2 Arteriovenous malformation of cerebral vessels
Incl.:
Arteriovenous malformation of brain NOS
Congenital arteriovenous cerebral aneurysm (nonruptured)
Q28.3 Other malformations of cerebral vessels
Incl.:
Congenital:
  • cerebral aneurysm (nonruptured)
  • malformation of cerebral vessels NOS
Q28.8 Other specified congenital malformations of circulatory system
Incl.:
Congenital aneurysm, specified site NEC
Q28.9 Congenital malformation of circulatory system, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVII
Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)

Q30 Congenital malformations of nose

Excl.:
congenital deviation of nasal septum (Q67.4)
Q30.0 Choanal atresia
Incl.:
  • Atresia
  • Congenital stenosis
  • of nares (anterior)(posterior)
Q30.1 Agenesis and underdevelopment of nose
Incl.:
Congenital absence of nose
Q30.2 Fissured, notched and cleft nose
Q30.3 Congenital perforated nasal septum
Q30.8 Other congenital malformations of nose
Incl.:
Accessory nose
Congenital anomaly of nasal sinus wall
Q30.9 Congenital malformation of nose, unspecified

Q31 Congenital malformations of larynx

Excl.:
congenital (laryngeal) stridor NOS (P28.8)
Q31.0 Web of larynx
Incl.:
Web of larynx:
  • NOS
  • glottic
  • subglottic
Q31.1 Congenital subglottic stenosis
Q31.2 Laryngeal hypoplasia
Q31.3 Laryngocele
Q31.5 Congenital laryngomalacia
Q31.8 Other congenital malformations of larynx
Incl.:
  • Absence
  • Agenesis
  • Atresia
  • of cricoid cartilage, epiglottis, glottis, larynx or thyroid cartilage
Cleft thyroid cartilage
Congenital stenosis of larynx NEC
Fissure of epiglottis
Posterior cleft of cricoid cartilage
Q31.9 Congenital malformation of larynx, unspecified

Q32 Congenital malformations of trachea and bronchus

Excl.:
congenital bronchiectasis (Q33.4)
Q32.0 Congenital tracheomalacia
Q32.1 Other congenital malformations of trachea
Incl.:
Anomaly of tracheal cartilage
Atresia of trachea
  • Congenital:
    • dilatation
    • malformation
    • stenosis
  • of trachea
Congenital tracheocele
Q32.2 Congenital bronchomalacia
Q32.3 Congenital stenosis of bronchus
Q32.4 Other congenital malformations of bronchus
Incl.:
  • Absence
  • Agenesis
  • Atresia
  • Congenital malformation NOS
  • Diverticulum
  • of bronchus

Q33 Congenital malformations of lung

Q33.0 Congenital cystic lung
Incl.:
Congenital:
  • honeycomb lung
  • lung disease:
    • cystic
    • polycystic
Excl.:
cystic lung disease, acquired or unspecified (J98.4)
Q33.1 Accessory lobe of lung
Q33.2 Sequestration of lung
Q33.3 Agenesis of lung
Incl.:
Absence of lung (lobe)
Q33.4 Congenital bronchiectasis
Q33.5 Ectopic tissue in lung
Q33.6 Hypoplasia and dysplasia of lung
Excl.:
pulmonary hypoplasia associated with short gestation (P28.0)
Q33.8 Other congenital malformations of lung
Q33.9 Congenital malformation of lung, unspecified

Q34 Other congenital malformations of respiratory system

Q34.0 Anomaly of pleura
Q34.1 Congenital cyst of mediastinum
Q34.8 Other specified congenital malformations of respiratory system
Incl.:
Atresia of nasopharynx
Q34.9 Congenital malformation of respiratory system, unspecified
Incl.:
  • Congenital:
    • absence
    • anomaly NOS
  • of respiratory organ

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVII
Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)

Cleft lip and cleft palate
(Q35-Q37)

Coding-Hint
Use additional code (Q30.2), if desired, to identify associated malformations of the nose.
Excl.:
Robin syndrome (Q87.0)

Q35 Cleft palate

Incl.:
fissure of palate
palatoschisis
Excl.:
cleft palate with cleft lip (Q37.-)
Q35.1 Cleft hard palate
Q35.3 Cleft soft palate
Q35.5 Cleft hard palate with cleft soft palate
Q35.7 Cleft uvula
Q35.9 Cleft palate, unspecified

Q36 Cleft lip

Incl.:
cheiloschisis
congenital fissure of lip
harelip
labium leporinum
Excl.:
cleft lip with cleft palate (Q37.-)
Q36.0 Cleft lip, bilateral
Q36.1 Cleft lip, median
Q36.9 Cleft lip, unilateral
Incl.:
Cleft lip NOS

Q37 Cleft palate with cleft lip

Q37.0 Cleft hard palate with bilateral cleft lip
Q37.1 Cleft hard palate with unilateral cleft lip
Incl.:
Cleft hard palate with cleft lip NOS
Q37.2 Cleft soft palate with bilateral cleft lip
Q37.3 Cleft soft palate with unilateral cleft lip
Incl.:
Cleft soft palate with cleft lip NOS
Q37.4 Cleft hard and soft palate with bilateral cleft lip
Q37.5 Cleft hard and soft palate with unilateral cleft lip
Incl.:
Cleft hard and soft palate with cleft lip NOS
Q37.8 Unspecified cleft palate with bilateral cleft lip
Q37.9 Unspecified cleft palate with unilateral cleft lip
Incl.:
Cleft palate with cleft lip NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVII
Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)

Q38 Other congenital malformations of tongue, mouth and pharynx

Excl.:
macrostomia (Q18.4)
microstomia (Q18.5)
Q38.0 Congenital malformations of lips, not elsewhere classified
Incl.:
Congenital:
  • fistula of lip
  • malformation of lip NOS
Van der Woude syndrome
Excl.:
cleft lip (Q36.-)
cleft lip
  • with cleft palate (Q37.-)
macrocheilia (Q18.6)
microcheilia (Q18.7)
Q38.1 Ankyloglossia
Incl.:
Tongue tie
Q38.2 Macroglossia
Q38.3 Other congenital malformations of tongue
Incl.:
Aglossia
Bifid tongue
  • Congenital:
    • adhesion
    • fissure
    • malformation NOS
  • of tongue
Hypoglossia
Hypoplasia of tongue
Microglossia
Q38.4 Congenital malformations of salivary glands and ducts
Incl.:
  • Absence
  • Accessory
  • Atresia
  • (of) salivary gland or duct
Congenital fistula of salivary gland
Q38.5 Congenital malformations of palate, not elsewhere classified
Incl.:
Absence of uvula
Congenital malformation of palate NOS
High arched palate
Excl.:
cleft palate (Q35.-)
cleft palate
Q38.6 Other congenital malformations of mouth
Incl.:
Congenital malformation of mouth NOS
Q38.7 Pharyngeal pouch
Incl.:
Diverticulum of pharynx
Excl.:
pharyngeal pouch syndrome (D82.1)
Q38.8 Other congenital malformations of pharynx
Incl.:
Congenital malformation of pharynx NOS

Q39 Congenital malformations of oesophagus

Q39.0 Atresia of oesophagus without fistula
Incl.:
Atresia of oesophagus NOS
Q39.1 Atresia of oesophagus with tracheo-oesophageal fistula
Incl.:
Atresia of oesophagus with broncho-oesophageal fistula
Q39.2 Congenital tracheo-oesophageal fistula without atresia
Incl.:
Congenital tracheo-oesophageal fistula NOS
Q39.3 Congenital stenosis and stricture of oesophagus
Q39.4 Oesophageal web
Q39.5 Congenital dilatation of oesophagus
Q39.6 Diverticulum of oesophagus
Incl.:
Oesophageal pouch
Q39.8 Other congenital malformations of oesophagus
Incl.:
  • Absent
  • Congenital displacement
  • Duplication
  • (of) oesophagus
Q39.9 Congenital malformation of oesophagus, unspecified

Q40 Other congenital malformations of upper alimentary tract

Q40.0 Congenital hypertrophic pyloric stenosis
Incl.:
  • Congenital or infantile:
    • constriction
    • hypertrophy
    • spasm
    • stenosis
    • stricture
  • of pylorus
Q40.1 Congenital hiatus hernia
Incl.:
Displacement of cardia through oesophageal hiatus
Excl.:
congenital diaphragmatic hernia (Q79.0)
Q40.2 Other specified congenital malformations of stomach
Incl.:
Congenital:
  • displacement of stomach
  • diverticulum of stomach
  • hourglass stomach
Duplication of stomach
Megalogastria
Microgastria
Q40.3 Congenital malformation of stomach, unspecified
Q40.8 Other specified congenital malformations of upper alimentary tract
Q40.9 Congenital malformation of upper alimentary tract, unspecified
Incl.:
  • Congenital:
    • anomaly
    • deformity
  • NOS of upper alimentary tract

Q41 Congenital absence, atresia and stenosis of small intestine

Incl.:
congenital obstruction, occlusion and stricture of small intestine or intestine NOS
Excl.:
meconium ileus (E84.1)
Q41.0 Congenital absence, atresia and stenosis of duodenum
Q41.1 Congenital absence, atresia and stenosis of jejunum
Incl.:
Apple peel syndrome
Imperforate jejunum
Q41.2 Congenital absence, atresia and stenosis of ileum
Q41.8 Congenital absence, atresia and stenosis of other specified parts of small intestine
Q41.9 Congenital absence, atresia and stenosis of small intestine, part unspecified
Incl.:
Congenital absence, atresia and stenosis of intestine NOS

Q42 Congenital absence, atresia and stenosis of large intestine

Incl.:
congenital obstruction, occlusion and stricture of large intestine
Q42.0 Congenital absence, atresia and stenosis of rectum with fistula
Q42.1 Congenital absence, atresia and stenosis of rectum without fistula
Incl.:
Imperforate rectum
Q42.2 Congenital absence, atresia and stenosis of anus with fistula
Q42.3 Congenital absence, atresia and stenosis of anus without fistula
Incl.:
Imperforate anus
Q42.8 Congenital absence, atresia and stenosis of other parts of large intestine
Q42.9 Congenital absence, atresia and stenosis of large intestine, part unspecified

Q43 Other congenital malformations of intestine

Q43.0 Meckel diverticulum
Incl.:
Persistent:
  • omphalomesenteric duct
  • vitelline duct
Q43.1 Hirschsprung disease
Incl.:
Aganglionosis
Congenital (aganglionic) megacolon
Q43.2 Other congenital functional disorders of colon
Incl.:
Congenital dilatation of colon
Q43.3 Congenital malformations of intestinal fixation
Incl.:
Congenital adhesions [bands]:
  • omental, anomalous
  • peritoneal
Jackson membrane
Malrotation of colon
  • Rotation:
    • failure of
    • incomplete
    • insufficient
  • of caecum and colon
Universal mesentery
Q43.4 Duplication of intestine
Q43.5 Ectopic anus
Q43.6 Congenital fistula of rectum and anus
Excl.:
congenital fistula:
pilonidal fistula or sinus (L05.-)
with absence, atresia and stenosis (Q42.0, Q42.2)
Q43.7 Persistent cloaca
Incl.:
Cloaca NOS
Q43.8 Other specified congenital malformations of intestine
Incl.:
Congenital:
  • blind loop syndrome
  • diverticulitis, colon
  • diverticulum, intestine
Dolichocolon
Megaloappendix
Megaloduodenum
Microcolon
Transposition of:
  • appendix
  • colon
  • intestine
Q43.9 Congenital malformation of intestine, unspecified

Q44 Congenital malformations of gallbladder, bile ducts and liver

Q44.0 Agenesis, aplasia and hypoplasia of gallbladder
Incl.:
Congenital absence of gallbladder
Q44.1 Other congenital malformations of gallbladder
Incl.:
Congenital malformation of gallbladder NOS
Intrahepatic gallbladder
Q44.2 Atresia of bile ducts
Q44.3 Congenital stenosis and stricture of bile ducts
Q44.4 Choledochal cyst
Q44.5 Other congenital malformations of bile ducts
Incl.:
Accessory hepatic duct
Congenital malformation of bile duct NOS
Duplication:
  • biliary duct
  • cystic duct
Q44.6 Cystic disease of liver
Incl.:
Fibrocystic disease of liver
Q44.7 Other congenital malformations of liver
Incl.:
Accessory liver
Alagille syndrome
Congenital:
  • absence of liver
  • hepatomegaly
  • malformation of liver NOS

Q45 Other congenital malformations of digestive system

Excl.:
congenital:
  • diaphragmatic hernia (Q79.0)
  • hiatus hernia (Q40.1)
Q45.0 Agenesis, aplasia and hypoplasia of pancreas
Incl.:
Congenital absence of pancreas
Q45.1 Annular pancreas
Q45.2 Congenital pancreatic cyst
Q45.3 Other congenital malformations of pancreas and pancreatic duct
Incl.:
Accessory pancreas
Congenital malformation of pancreas or pancreatic duct NOS
Excl.:
diabetes mellitus:
fibrocystic disease of pancreas (E84.-)
Q45.8 Other specified congenital malformations of digestive system
Incl.:
Absence (complete)(partial) of alimentary tract NOS
  • Duplication
  • Malposition, congenital
  • of digestive organs NOS
Q45.9 Congenital malformation of digestive system, unspecified
Incl.:
  • Congenital:
    • anomaly
    • deformity
  • NOS of digestive system

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVII
Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)

Congenital malformations of genital organs
(Q50-Q56)

Excl.:
androgen resistance syndrome (E34.5)
syndromes associated with anomalies in the number and form of chromosomes (Q90-Q99)
testicular feminization syndrome (E34.5)

Q50 Congenital malformations of ovaries, fallopian tubes and broad ligaments

Q50.0 Congenital absence of ovary
Excl.:
Turner syndrome (Q96.-)
Q50.1 Developmental ovarian cyst
Q50.2 Congenital torsion of ovary
Q50.3 Other congenital malformations of ovary
Incl.:
Accessory ovary
Congenital malformation of ovary NOS
Ovarian streak
Q50.4 Embryonic cyst of fallopian tube
Incl.:
Fimbrial cyst
Q50.5 Embryonic cyst of broad ligament
Incl.:
Cyst:
  • epoophoron
  • Gartner duct
  • parovarian
Q50.6 Other congenital malformations of fallopian tube and broad ligament
Incl.:
  • Absence
  • Accessory
  • Atresia
  • (of) fallopian tube or broad ligament
Congenital malformation of fallopian tube or broad ligament NOS

Q51 Congenital malformations of uterus and cervix

Q51.0 Agenesis and aplasia of uterus
Incl.:
Congenital absence of uterus
Q51.1 Doubling of uterus with doubling of cervix and vagina
Q51.2 Other doubling of uterus
Incl.:
Doubling of uterus NOS
Q51.3 Bicornate uterus
Q51.4 Unicornate uterus
Q51.5 Agenesis and aplasia of cervix
Incl.:
Congenital absence of cervix
Q51.6 Embryonic cyst of cervix
Q51.7 Congenital fistulae between uterus and digestive and urinary tracts
Q51.8 Other congenital malformations of uterus and cervix
Incl.:
Hypoplasia of uterus and cervix
Q51.9 Congenital malformation of uterus and cervix, unspecified

Q52 Other congenital malformations of female genitalia

Q52.0 Congenital absence of vagina
Q52.1 Doubling of vagina
Incl.:
Septate vagina
Excl.:
doubling of vagina with doubling of uterus and cervix (Q51.1)
Q52.2 Congenital rectovaginal fistula
Excl.:
cloaca (Q43.7)
Q52.3 Imperforate hymen
Q52.4 Other congenital malformations of vagina
Incl.:
Congenital malformation of vagina NOS
Cyst:
  • canal of Nuck, congenital
  • embryonic vaginal
Q52.5 Fusion of labia
Q52.6 Congenital malformation of clitoris
Q52.7 Other congenital malformations of vulva
Incl.:
  • Congenital:
    • absence
    • cyst
    • malformation NOS
  • of vulva
Q52.8 Other specified congenital malformations of female genitalia
Q52.9 Congenital malformation of female genitalia, unspecified

Q53 Undescended testicle

Q53.0 Ectopic testis
Incl.:
Unilateral or bilateral ectopic testes
Q53.1 Undescended testicle, unilateral
Q53.2 Undescended testicle, bilateral
Q53.9 Undescended testicle, unspecified
Incl.:
Cryptorchism NOS

Q54 Hypospadias

Excl.:
epispadias (Q64.0)
Q54.0 Hypospadias, balanic
Incl.:
Hypospadias:
  • coronal
  • glandular
Q54.1 Hypospadias, penile
Q54.2 Hypospadias, penoscrotal
Q54.3 Hypospadias, perineal
Q54.4 Congenital chordee
Q54.8 Other hypospadias
Q54.9 Hypospadias, unspecified

Q55 Other congenital malformations of male genital organs

Excl.:
congenital hydrocele (P83.5)
hypospadias (Q54.-)
Q55.0 Absence and aplasia of testis
Incl.:
Monorchism
Q55.1 Hypoplasia of testis and scrotum
Incl.:
Fusion of testes
Q55.2 Other congenital malformations of testis and scrotum
Incl.:
Congenital malformation of testis or scrotum NOS
Polyorchism
Retractile testis
Testis migrans
Q55.3 Atresia of vas deferens
Q55.4 Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate
Incl.:
Absence or aplasia of:
  • prostate
  • spermatic cord
Congenital malformation of vas deferens, epididymis, seminal vesicles or prostate NOS
Q55.5 Congenital absence and aplasia of penis
Q55.6 Other congenital malformations of penis
Incl.:
Congenital malformation of penis NOS
Curvature of penis (lateral)
Hypoplasia of penis
Q55.8 Other specified congenital malformations of male genital organs
Q55.9 Congenital malformation of male genital organ, unspecified
Incl.:
  • Congenital:
    • anomaly
    • deformity
  • NOS of male genital organ

Q56 Indeterminate sex and pseudohermaphroditism

Excl.:
pseudohermaphroditism:
  • female, with adrenocortical disorder (E25.-)
  • male, with androgen resistance (E34.5)
  • with specified chromosomal anomaly (Q96-Q99)
Q56.0 Hermaphroditism, not elsewhere classified
Incl.:
Ovotestis
Q56.1 Male pseudohermaphroditism, not elsewhere classified
Incl.:
Male pseudohermaphroditism NOS
Q56.2 Female pseudohermaphroditism, not elsewhere classified
Incl.:
Female pseudohermaphroditism NOS
Q56.3 Pseudohermaphroditism, unspecified
Q56.4 Indeterminate sex, unspecified
Incl.:
Ambiguous genitalia

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVII
Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)

Q60 Renal agenesis and other reduction defects of kidney

Incl.:
atrophy of kidney:
  • congenital
  • infantile
congenital absence of kidney
Q60.0 Renal agenesis, unilateral
Q60.1 Renal agenesis, bilateral
Q60.2 Renal agenesis, unspecified
Q60.3 Renal hypoplasia, unilateral
Q60.4 Renal hypoplasia, bilateral
Q60.5 Renal hypoplasia, unspecified
Q60.6 Potter syndrome

Q61 Cystic kidney disease

Excl.:
cyst of kidney (acquired) (N28.1)
Potter syndrome (Q60.6)
Q61.0 Congenital single renal cyst
Incl.:
Congenital cyst of kidney (single)
Q61.1 Polycystic kidney, autosomal recessive
Incl.:
Polycystic kidney, infantile type
Q61.2 Polycystic kidney, autosomal dominant
Incl.:
Polycystic kidney, adult type
Q61.3 Polycystic kidney, unspecified
Q61.4 Renal dysplasia
Incl.:
Multicystic:
  • dyplastic kidney
  • kidney (developmental)
  • kidney disease
  • renal dysplasia
Excl.:
polycystic kidney disease (Q61.1-Q61.3)
Q61.5 Medullary cystic kidney
Incl.:
Sponge kidney NOS
Q61.8 Other cystic kidney diseases
Incl.:
Fibrocystic:
  • kidney
  • renal degeneration or disease
Q61.9 Cystic kidney disease, unspecified
Incl.:
Meckel-Gruber syndrome

Q62 Congenital obstructive defects of renal pelvis and congenital malformations of ureter

Q62.0 Congenital hydronephrosis
Q62.1 Atresia and stenosis of ureter
Incl.:
Congenital occlusion of:
  • ureter
  • ureteropelvic junction
  • ureterovesical orifice
Impervious ureter
Q62.2 Congenital megaloureter
Incl.:
Congenital dilatation of ureter
Q62.3 Other obstructive defects of renal pelvis and ureter
Incl.:
Congenital ureterocele
Q62.4 Agenesis of ureter
Incl.:
Absent ureter
Q62.5 Duplication of ureter
Incl.:
  • Accessory
  • Double
  • ureter
Q62.6 Malposition of ureter
Incl.:
  • Deviation
  • Displacement
  • Ectopic
  • Implantation, anomalous
  • (of) ureter or ureteric orifice
Q62.7 Congenital vesico-uretero-renal reflux
Q62.8 Other congenital malformations of ureter
Incl.:
Anomaly of ureter NOS

Q63 Other congenital malformations of kidney

Excl.:
congenital nephrotic syndrome (N04.-)
Q63.0 Accessory kidney
Q63.1 Lobulated, fused and horseshoe kidney
Q63.2 Ectopic kidney
Incl.:
Congenital displaced kidney
Malrotation of kidney
Q63.3 Hyperplastic and giant kidney
Q63.8 Other specified congenital malformations of kidney
Incl.:
Congenital renal calculi
Q63.9 Congenital malformation of kidney, unspecified

Q64 Other congenital malformations of urinary system

Q64.0 Epispadias
Excl.:
hypospadias (Q54.-)
Q64.1 Exstrophy of urinary bladder
Incl.:
Ectopia vesicae
Extroversion of bladder
Q64.2 Congenital posterior urethral valves
Q64.3 Other atresia and stenosis of urethra and bladder neck
Incl.:
Congenital:
  • bladder neck obstruction
  • stricture of:
    • urethra
    • urinary meatus
    • vesicourethral orifice
Impervious urethra
Q64.4 Malformation of urachus
Incl.:
Cyst of urachus
Patent urachus
Prolapse of urachus
Q64.5 Congenital absence of bladder and urethra
Q64.6 Congenital diverticulum of bladder
Q64.7 Other congenital malformations of bladder and urethra
Incl.:
Accessory:
  • bladder
  • urethra
Congenital:
  • hernia of bladder
  • malformation of bladder or urethra NOS
  • prolapse of:
    • bladder (mucosa)
    • urethra
    • urinary meatus
  • urethrorectal fistula
Double:
  • urethra
  • urinary meatus
Q64.8 Other specified congenital malformations of urinary system
Q64.9 Congenital malformation of urinary system, unspecified
Incl.:
  • Congenital:
    • anomaly
    • deformity
  • NOS of urinary system

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVII
Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)

Q65 Congenital deformities of hip

Excl.:
clicking hip (R29.4)
Q65.0 Congenital dislocation of hip, unilateral
Q65.1 Congenital dislocation of hip, bilateral
Q65.2 Congenital dislocation of hip, unspecified
Q65.3 Congenital subluxation of hip, unilateral
Q65.4 Congenital subluxation of hip, bilateral
Q65.5 Congenital subluxation of hip, unspecified
Q65.6 Unstable hip
Incl.:
Dislocatable hip
Subluxatable hip
Q65.8 Other congenital deformities of hip
Incl.:
Anteversion of femoral neck
Congenital acetabular dysplasia
Congenital coxa:
  • valga
  • vara
Q65.9 Congenital deformity of hip, unspecified

Q66 Congenital deformities of feet

Excl.:
reduction defects of feet (Q72.-)
valgus deformities (acquired) (M21.0)
varus deformities (acquired) (M21.1)
Q66.0 Talipes equinovarus
Q66.1 Talipes calcaneovarus
Q66.2 Metatarsus varus
Q66.3 Other congenital varus deformities of feet
Incl.:
Hallux varus, congenital
Q66.4 Talipes calcaneovalgus
Q66.5 Congenital pes planus
Incl.:
Flat foot:
  • congenital
  • rigid
  • spastic (everted)
Q66.6 Other congenital valgus deformities of feet
Incl.:
Metatarsus valgus
Q66.7 Pes cavus
Q66.8 Other congenital deformities of feet
Incl.:
Clubfoot NOS
Hammer toe, congenital
Talipes:
  • NOS
  • asymmetric
Tarsal coalition
Vertical talus
Q66.9 Congenital deformity of feet, unspecified

Q67 Congenital musculoskeletal deformities of head, face, spine and chest

Excl.:
congenital malformation syndromes classified to Q87.-
Potter syndrome (Q60.6)
Q67.0 Facial asymmetry
Q67.1 Compression facies
Q67.2 Dolichocephaly
Q67.3 Plagiocephaly
Q67.4 Other congenital deformities of skull, face and jaw
Incl.:
Depressions in skull
Deviation of nasal septum, congenital
Hemifacial atrophy or hypertrophy
Squashed or bent nose, congenital
Excl.:
dentofacial anomalies [including malocclusion] (K07.-)
syphilitic saddle nose (A50.5)
Q67.5 Congenital deformity of spine
Incl.:
Congenital scoliosis:
  • NOS
  • postural
Excl.:
infantile idiopathic scoliosis (M41.0)
scoliosis due to congenital bony malformation (Q76.3)
Q67.6 Pectus excavatum
Incl.:
Congenital funnel chest
Q67.7 Pectus carinatum
Incl.:
Congenital pigeon chest
Q67.8 Other congenital deformities of chest
Incl.:
Congenital deformity of chest wall NOS

Q68 Other congenital musculoskeletal deformities

Excl.:
reduction defects of limb(s) (Q71-Q73)
Q68.0 Congenital deformity of sternocleidomastoid muscle
Incl.:
Congenital (sternomastoid) torticollis
Contracture of sternocleidomastoid (muscle)
Sternomastoid tumour (congenital)
Q68.1 Congenital deformity of hand
Incl.:
Congenital clubfinger
Spade-like hand (congenital)
Q68.2 Congenital deformity of knee
Incl.:
Congenital:
  • dislocation of knee
  • genu recurvatum
Q68.3 Congenital bowing of femur
Excl.:
anteversion of femur (neck) (Q65.8)
Q68.4 Congenital bowing of tibia and fibula
Q68.5 Congenital bowing of long bones of leg, unspecified
Q68.8 Other specified congenital musculoskeletal deformities
Incl.:
Congenital:
  • deformity of:
    • clavicle
    • elbow
    • forearm
    • scapula
  • dislocation of:
    • elbow
    • shoulder

Q69 Polydactyly

Q69.0 Accessory finger(s)
Q69.1 Accessory thumb(s)
Q69.2 Accessory toe(s)
Incl.:
Accessory hallux
Q69.9 Polydactyly, unspecified
Incl.:
Supernumerary digit(s) NOS

Q70 Syndactyly

Q70.0 Fused fingers
Incl.:
Complex syndactyly of fingers with synostosis
Q70.1 Webbed fingers
Incl.:
Simple syndactyly of fingers without synostosis
Q70.2 Fused toes
Incl.:
Complex syndactyly of toes with synostosis
Q70.3 Webbed toes
Incl.:
Simple syndactyly of toes without synostosis
Q70.4 Polysyndactyly
Q70.9 Syndactyly, unspecified
Incl.:
Symphalangy NOS

Q71 Reduction defects of upper limb

Q71.0 Congenital complete absence of upper limb(s)
Q71.1 Congenital absence of upper arm and forearm with hand present
Q71.2 Congenital absence of both forearm and hand
Q71.3 Congenital absence of hand and finger(s)
Q71.4 Longitudinal reduction defect of radius
Incl.:
Clubhand (congenital)
Radial clubhand
Q71.5 Longitudinal reduction defect of ulna
Q71.6 Lobster-claw hand
Q71.8 Other reduction defects of upper limb(s)
Incl.:
Congenital shortening of upper limb(s)
Q71.9 Reduction defect of upper limb, unspecified

Q72 Reduction defects of lower limb

Q72.0 Congenital complete absence of lower limb(s)
Q72.1 Congenital absence of thigh and lower leg with foot present
Q72.2 Congenital absence of both lower leg and foot
Q72.3 Congenital absence of foot and toe(s)
Q72.4 Longitudinal reduction defect of femur
Incl.:
Proximal femoral focal deficiency
Q72.5 Longitudinal reduction defect of tibia
Q72.6 Longitudinal reduction defect of fibula
Q72.7 Split foot
Q72.8 Other reduction defects of lower limb(s)
Incl.:
Congenital shortening of lower limb(s)
Q72.9 Reduction defect of lower limb, unspecified

Q73 Reduction defects of unspecified limb

Q73.0 Congenital absence of unspecified limb(s)
Incl.:
Amelia NOS
Q73.1 Phocomelia, unspecified limb(s)
Incl.:
Phocomelia NOS
Q73.8 Other reduction defects of unspecified limb(s)
Incl.:
Longitudinal reduction deformity of unspecified limb(s)
  • Ectromelia NOS
  • Hemimelia NOS
  • Reduction defect
  • of limb(s) NOS

Q74 Other congenital malformations of limb(s)

Excl.:
polydactyly (Q69.-)
reduction defect of limb (Q71-Q73)
syndactyly (Q70.-)
Q74.0 Other congenital malformations of upper limb(s), including shoulder girdle
Incl.:
Accessory carpal bones
Cleidocranial dysostosis
Congenital pseudarthrosis of clavicle
Macrodactylia (fingers)
Madelung deformity
Radioulnar synostosis
Sprengel deformity
Triphalangeal thumb
Q74.1 Congenital malformation of knee
Incl.:
Congenital:
  • absence of patella
  • dislocation of patella
  • genu:
    • valgum
    • varum
Rudimentary patella
Excl.:
congenital:
  • dislocation of knee (Q68.2)
  • genu recurvatum (Q68.2)
nail patella syndrome (Q87.2)
Q74.2 Other congenital malformations of lower limb(s), including pelvic girdle
Incl.:
Congenital:
  • fusion of sacroiliac joint
  • malformation (of):
    • ankle (joint)
    • sacroiliac (joint)
Excl.:
anteversion of femur (neck) (Q65.8)
Q74.3 Arthrogryposis multiplex congenita
Q74.8 Other specified congenital malformations of limb(s)
Q74.9 Unspecified congenital malformation of limb(s)
Incl.:
Congenital anomaly of limb(s) NOS

Q75 Other congenital malformations of skull and face bones

Excl.:
congenital malformation of face NOS (Q18.-)
congenital malformation syndromes classified to Q87.-
dentofacial anomalies [including malocclusion] (K07.-)
musculoskeletal deformities of head and face (Q67.0-Q67.4)
skull defects associated with congenital anomalies of brain such as:
Q75.0 Craniosynostosis
Incl.:
Acrocephaly
Imperfect fusion of skull
Oxycephaly
Trigonocephaly
Q75.1 Craniofacial dysostosis
Incl.:
Crouzon disease
Q75.2 Hypertelorism
Q75.3 Macrocephaly
Q75.4 Mandibulofacial dysostosis
Incl.:
Syndrome:
  • Franceschetti
  • Treacher-Collins
Q75.5 Oculomandibular dysostosis
Q75.8 Other specified congenital malformations of skull and face bones
Incl.:
Absence of skull bone, congenital
Congenital deformity of forehead
Platybasia
Q75.9 Congenital malformation of skull and face bones, unspecified
Incl.:
Congenital anomaly of:
  • face bones NOS
  • skull NOS

Q76 Congenital malformations of spine and bony thorax

Excl.:
congenital musculoskeletal deformities of spine and chest (Q67.5-Q67.8)
Q76.0 Spina bifida occulta
Excl.:
meningocele (spinal) (Q05.-)
spina bifida (aperta)(cystica) (Q05.-)
Q76.1 Klippel-Feil syndrome
Incl.:
Cervical fusion syndrome
Q76.2 Congenital spondylolisthesis
Incl.:
Congenital spondylolysis
Excl.:
spondylolisthesis (acquired) (M43.1)
spondylolysis (acquired) (M43.0)
Q76.3 Congenital scoliosis due to congenital bony malformation
Incl.:
Hemivertebra fusion or failure of segmentation with scoliosis
Q76.4 Other congenital malformations of spine, not associated with scoliosis
Incl.:
  • Congenital:
    • absence of vertebra
    • fusion of spine
    • kyphosis
    • lordosis
    • malformation of lumbosacral (joint) (region)
  • Hemivertebra
  • Malformation of spine
  • Platyspondylisis
  • Supernumerary vertebra
  • unspecified or not associated with scoliosis
Q76.5 Cervical rib
Incl.:
Supernumerary rib in cervical region
Q76.6 Other congenital malformations of ribs
Incl.:
Accessory rib
Congenital:
  • absence of rib
  • fusion of ribs
  • malformation of ribs NOS
Excl.:
short rib syndrome (Q77.2)
Q76.7 Congenital malformation of sternum
Incl.:
Congenital absence of sternum
Sternum bifidum
Q76.8 Other congenital malformations of bony thorax
Q76.9 Congenital malformation of bony thorax, unspecified

Q77 Osteochondrodysplasia with defects of growth of tubular bones and spine

Excl.:
mucopolysaccharidosis (E76.0-E76.3)
Q77.0 Achondrogenesis
Incl.:
Hypochondrogenesis
Q77.1 Thanatophoric short stature
Q77.2 Short rib syndrome
Incl.:
Asphyxiating thoracic dysplasia [Jeune]
Q77.3 Chondrodysplasia punctata
Q77.4 Achondroplasia
Incl.:
Hypochondroplasia
Osteosclerosis congenita
Q77.5 Dystrophic dysplasia
Q77.6 Chondroectodermal dysplasia
Incl.:
Ellis-van Creveld syndrome
Q77.7 Spondyloepiphyseal dysplasia
Q77.8 Other osteochondrodysplasia with defects of growth of tubular bones and spine
Q77.9 Osteochondrodysplasia with defects of growth of tubular bones and spine, unspecified

Q78 Other osteochondrodysplasias

Q78.0 Osteogenesis imperfecta
Incl.:
Fragilitas ossium
Osteopsathyrosis
Q78.1 Polyostotic fibrous dysplasia
Incl.:
Albright(-McCune)(-Sternberg) syndrome
Q78.2 Osteopetrosis
Incl.:
Albers-Schönberg syndrome
Q78.3 Progressive diaphyseal dysplasia
Incl.:
Camurati-Engelmann syndrome
Q78.4 Enchondromatosis
Incl.:
Maffucci syndrome
Ollier disease
Q78.5 Metaphyseal dysplasia
Incl.:
Pyle syndrome
Q78.6 Multiple congenital exostoses
Incl.:
Diaphyseal aclasis
Q78.8 Other specified osteochondrodysplasias
Incl.:
Osteopoikilosis
Q78.9 Osteochondrodysplasia, unspecified
Incl.:
Chondrodystrophy NOS
Osteodystrophy NOS

Q79 Congenital malformations of the musculoskeletal system, not elsewhere classified

Excl.:
congenital (sternomastoid) torticollis (Q68.0)
Q79.0 Congenital diaphragmatic hernia
Excl.:
congenital hiatus hernia (Q40.1)
Q79.1 Other congenital malformations of diaphragm
Incl.:
Absence of diaphragm
Congenital malformation of diaphragm NOS
Eventration of diaphragm
Q79.2 Exomphalos
Incl.:
Omphalocele
Excl.:
umbilical hernia (K42.-)
Q79.3 Gastroschisis
Q79.4 Prune belly syndrome
Q79.5 Other congenital malformations of abdominal wall
Excl.:
umbilical hernia (K42.-)
Q79.6 Ehlers-Danlos syndrome
Q79.8 Other congenital malformations of musculoskeletal system
Incl.:
Absence of:
  • muscle
  • tendon
Accessory muscle
Amyotrophia congenita
Congenital:
  • constricting bands
  • shortening of tendon
Poland syndrome
Q79.9 Congenital malformation of musculoskeletal system, unspecified
Incl.:
  • Congenital:
    • anomaly NOS
    • deformity NOS
  • of musculoskeletal system NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVII
Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)

Q80 Congenital ichthyosis

Excl.:
Refsum disease (G60.1)
Q80.0 Ichthyosis vulgaris
Q80.1 X-linked ichthyosis
Q80.2 Lamellar ichthyosis
Incl.:
Collodion baby
Q80.3 Congenital bullous ichthyosiform erythroderma
Q80.4 Harlequin fetus
Q80.8 Other congenital ichthyosis
Q80.9 Congenital ichthyosis, unspecified

Q81 Epidermolysis bullosa

Q81.0 Epidermolysis bullosa simplex
Excl.:
Cockayne syndrome (Q87.1)
Q81.1 Epidermolysis bullosa letalis
Incl.:
Herlitz syndrome
Q81.2 Epidermolysis bullosa dystrophica
Q81.8 Other epidermolysis bullosa
Q81.9 Epidermolysis bullosa, unspecified

Q82 Other congenital malformations of skin

Excl.:
acrodermatitis enteropathica (E83.2)
congenital erythropoietic porphyria (E80.0)
pilonidal cyst or sinus (L05.-)
Sturge-Weber(-Dimitri) syndrome (Q85.8)
Q82.0 Hereditary lymphoedema
Q82.1 Xeroderma pigmentosum
Q82.2 Mastocytosis
Incl.:
Urticaria pigmentosa
Excl.:
malignant mastocytosis (C96.2)
Q82.3 Incontinentia pigmenti
Q82.4 Ectodermal dysplasia (anhidrotic)
Excl.:
Ellis-van Creveld syndrome (Q77.6)
Q82.5 Congenital non-neoplastic naevus
Incl.:
Birthmark NOS
Naevus:
  • flammeus
  • portwine
  • sanguineous
  • strawberry
  • vascular NOS
  • verrucous
Excl.:
café au lait spots (L81.3)
lentigo (L81.4)
naevus:
Q82.8 Other specified congenital malformations of skin
Incl.:
Abnormal palmar creases
Accessory skin tags
Benign familial pemphigus [Hailey-Hailey]
Cutis laxa (hyperelastica)
Dermatoglyphic anomalies
Inherited keratosis palmaris et plantaris
Keratosis follicularis [Darier-White]
Excl.:
Ehlers-Danlos syndrome (Q79.6)
Q82.9 Congenital malformation of skin, unspecified

Q83 Congenital malformations of breast

Excl.:
absence of pectoral muscle (Q79.8)
Q83.0 Congenital absence of breast with absent nipple
Q83.1 Accessory breast
Incl.:
Supernumerary breast
Q83.2 Absent nipple
Q83.3 Accessory nipple
Incl.:
Supernumerary nipple
Q83.8 Other congenital malformations of breast
Incl.:
Hypoplasia of breast
Q83.9 Congenital malformation of breast, unspecified

Q84 Other congenital malformations of integument

Q84.0 Congenital alopecia
Incl.:
Congenital atrichosis
Q84.1 Congenital morphological disturbances of hair, not elsewhere classified
Incl.:
Beaded hair
Monilethrix
Pili annulati
Excl.:
Menkes kinky hair syndrome (E83.0)
Q84.2 Other congenital malformations of hair
Incl.:
Congenital:
  • hypertrichosis
  • malformation of hair NOS
Persistent lanugo
Q84.3 Anonychia
Excl.:
nail patella syndrome (Q87.2)
Q84.4 Congenital leukonychia
Q84.5 Enlarged and hypertrophic nails
Incl.:
Congenital onychauxis
Pachyonychia
Q84.6 Other congenital malformations of nails
Incl.:
Congenital:
  • clubnail
  • koilonychia
  • malformation of nail NOS
Q84.8 Other specified congenital malformations of integument
Incl.:
Aplasia cutis congenita
Q84.9 Congenital malformation of integument, unspecified
Incl.:
  • Congenital:
    • anomaly NOS
    • deformity NOS
  • of integument NOS

Q85 Phakomatoses, not elsewhere classified

Excl.:
ataxia telangiectasia [Louis-Bar] (G11.3)
familial dysautonomia [Riley-Day] (G90.1)
Q85.0 Neurofibromatosis (nonmalignant)
Incl.:
Von Recklinghausen disease
Q85.1 Tuberous sclerosis
Incl.:
Bourneville disease
Epiloia
Q85.8 Other phakomatoses, not elsewhere classified
Incl.:
Syndrome:
  • Peutz-Jeghers
  • Sturge-Weber(-Dimitri)
  • von Hippel-Lindau
Excl.:
Meckel-Gruber syndrome (Q61.9)
Q85.9 Phakomatosis, unspecified
Incl.:
Hamartosis NOS

Q86 Congenital malformation syndromes due to known exogenous causes, not elsewhere classified

Excl.:
iodine-deficiency-related hypothyroidism (E00-E02)
nonteratogenic effects of substances transmitted via placenta or breast milk (P04.-)
Q86.0 Fetal alcohol syndrome (dysmorphic)
Q86.1 Fetal hydantoin syndrome
Incl.:
Meadow syndrome
Q86.2 Dysmorphism due to warfarin
Q86.8 Other congenital malformation syndromes due to known exogenous causes

Q87 Other specified congenital malformation syndromes affecting multiple systems

Q87.0 Congenital malformation syndromes predominantly affecting facial appearance
Incl.:
Acrocephalopolysyndactyly
Acrocephalosyndactyly [Apert]
Cryptophthalmos syndrome
Cyclopia
Syndrome:
  • Goldenhar
  • Moebius
  • oro-facial-digital
  • Robin
Whistling face
Q87.1 Congenital malformation syndromes predominantly associated with short stature
Incl.:
Syndrome:
  • Aarskog
  • Cockayne
  • De Lange
  • Dubowitz
  • Noonan
  • Prader-Willi
  • Robinow-Silverman-Smith
  • Russell-Silver
  • Seckel
  • Smith-Lemli-Opitz
Excl.:
Ellis-van Creveld syndrome (Q77.6)
Q87.2 Congenital malformation syndromes predominantly involving limbs
Incl.:
Syndrome:
  • Holt-Oram
  • Klippel-Trénaunay-Weber
  • nail patella
  • Rubinstein-Taybi
  • sirenomelia
  • thrombocytopenia with absent radius [TAR]
  • VATER
Q87.3 Congenital malformation syndromes involving early overgrowth
Incl.:
Syndrome:
  • Beckwith-Wiedemann
  • Sotos
  • Weaver
Q87.4 Marfan syndrome
Q87.5 Other congenital malformation syndromes with other skeletal changes
Q87.8 Other specified congenital malformation syndromes, not elsewhere classified
Incl.:
Syndrome:
  • Alport
  • Laurence-Moon(-Bardet)-Biedl
  • Zellweger

Q89 Other congenital malformations, not elsewhere classified

Q89.0 Congenital malformations of spleen
Incl.:
Asplenia (congenital)
Congenital splenomegaly
Excl.:
isomerism of atrial appendages (with asplenia or polysplenia) (Q20.6)
Q89.1 Congenital malformations of adrenal gland
Excl.:
congenital adrenal hyperplasia (E25.0)
Q89.2 Congenital malformations of other endocrine glands
Incl.:
Congenital malformation of parathyroid or thyroid gland
Persistent thyroglossal duct
Thyroglossal cyst
Q89.3 Situs inversus
Incl.:
Dextrocardia with situs inversus
Mirror-image atrial arrangement with situs inversus
Situs inversus or transversus:
  • abdominalis
  • thoracis
Transposition of viscera:
  • abdominal
  • thoracic
Excl.:
dextrocardia NOS (Q24.0)
laevocardia (Q24.1)
Q89.4 Conjoined twins
Incl.:
Craniopagus
Dicephaly
Double monster
Pygopagus
Thoracopagus
Q89.7 Multiple congenital malformations, not elsewhere classified
Incl.:
Monster NOS
Multiple congenital:
  • anomalies NOS
  • deformities NOS
Excl.:
congenital malformation syndromes affecting multiple systems (Q87.-)
Q89.8 Other specified congenital malformations
Q89.9 Congenital malformation, unspecified
Incl.:
Congenital:
  • anomaly NOS
  • deformity NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVII
Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)

Q90 Down syndrome

Q90.0 Trisomy 21, meiotic nondisjunction
Q90.1 Trisomy 21, mosaicism (mitotic nondisjunction)
Q90.2 Trisomy 21, translocation
Q90.9 Down syndrome, unspecified
Incl.:
Trisomy 21 NOS

Q91 Edwards syndrome and Patau syndrome

Q91.0 Trisomy 18, meiotic nondisjunction
Q91.1 Trisomy 18, mosaicism (mitotic nondisjunction)
Q91.2 Trisomy 18, translocation
Q91.3 Edwards syndrome, unspecified
Q91.4 Trisomy 13, meiotic nondisjunction
Q91.5 Trisomy 13, mosaicism (mitotic nondisjunction)
Q91.6 Trisomy 13, translocation
Q91.7 Patau syndrome, unspecified

Q92 Other trisomies and partial trisomies of the autosomes, not elsewhere classified

Incl.:
unbalanced translocations and insertions
Excl.:
trisomies of chromosomes 13, 18, 21 (Q90-Q91)
Q92.0 Whole chromosome trisomy, meiotic nondisjunction
Q92.1 Whole chromosome trisomy, mosaicism (mitotic nondisjunction)
Q92.2 Major partial trisomy
Additional Text

Whole arm or more duplicated.

Q92.3 Minor partial trisomy
Additional Text

Less than whole arm duplicated.

Q92.4 Duplications seen only at prometaphase
Q92.5 Duplications with other complex rearrangements
Q92.6 Extra marker chromosomes
Q92.7 Triploidy and polyploidy
Q92.8 Other specified trisomies and partial trisomies of autosomes
Q92.9 Trisomy and partial trisomy of autosomes, unspecified

Q93 Monosomies and deletions from the autosomes, not elsewhere classified

Q93.0 Whole chromosome monosomy, meiotic nondisjunction
Q93.1 Whole chromosome monosomy, mosaicism (mitotic nondisjunction)
Q93.2 Chromosome replaced with ring or dicentric
Q93.3 Deletion of short arm of chromosome 4
Incl.:
Wolff-Hirschorn syndrome
Q93.4 Deletion of short arm of chromosome 5
Incl.:
Cri-du-chat syndrome
Q93.5 Other deletions of part of a chromosome
Incl.:
Angelman syndrome
Q93.6 Deletions seen only at prometaphase
Q93.7 Deletions with other complex rearrangements
Q93.8 Other deletions from the autosomes
Q93.9 Deletion from autosomes, unspecified

Q95 Balanced rearrangements and structural markers, not elsewhere classified

Incl.:
Robertsonian and balanced reciprocal translocations and insertions
Q95.0 Balanced translocation and insertion in normal individual
Q95.1 Chromosome inversion in normal individual
Q95.2 Balanced autosomal rearrangement in abnormal individual
Q95.3 Balanced sex/autosomal rearrangement in abnormal individual
Q95.4 Individuals with marker heterochromatin
Q95.5 Individuals with autosomal fragile site
Q95.8 Other balanced rearrangements and structural markers
Q95.9 Balanced rearrangement and structural marker, unspecified

Q96 Turner syndrome

Excl.:
Noonan syndrome (Q87.1)
Q96.0 Karyotype 45,X
Q96.1 Karyotype 46,X iso (Xq)
Q96.2 Karyotype 46,X with abnormal sex chromosome, except iso (Xq)
Q96.3 Mosaicism, 45,X/46,XX or XY
Q96.4 Mosaicism, 45,X/other cell line(s) with abnormal sex chromosome
Q96.8 Other variants of Turner syndrome
Q96.9 Turner syndrome, unspecified

Q97 Other sex chromosome abnormalities, female phenotype, not elsewhere classified

Excl.:
Turner syndrome (Q96.-)
Q97.0 Karyotype 47,XXX
Q97.1 Female with more than three X chromosomes
Q97.2 Mosaicism, lines with various numbers of X chromosomes
Q97.3 Female with 46,XY karyotype
Q97.8 Other specified sex chromosome abnormalities, female phenotype
Q97.9 Sex chromosome abnormality, female phenotype, unspecified

Q98 Other sex chromosome abnormalities, male phenotype, not elsewhere classified

Q98.0 Klinefelter syndrome karyotype 47,XXY
Q98.1 Klinefelter syndrome, male with more than two X chromosomes
Q98.2 Klinefelter syndrome, male with 46,XX karyotype
Q98.3 Other male with 46,XX karyotype
Q98.4 Klinefelter syndrome, unspecified
Q98.5 Karyotype 47,XYY
Q98.6 Male with structurally abnormal sex chromosome
Q98.7 Male with sex chromosome mosaicism
Q98.8 Other specified sex chromosome abnormalities, male phenotype
Q98.9 Sex chromosome abnormality, male phenotype, unspecified

Q99 Other chromosome abnormalities, not elsewhere classified

Q99.0 Chimera 46,XX/46,XY
Incl.:
Chimera 46,XX/46,XY true hermaphrodite
Q99.1 46,XX true hermaphrodite
Incl.:
46,XX with streak gonads
46,XY with streak gonads
Pure gonadal dysgenesis
Q99.2 Fragile X chromosome
Incl.:
Fragile X syndrome
Q99.8 Other specified chromosome abnormalities
Q99.9 Chromosomal abnormality, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)

R00 Abnormalities of heart beat

Excl.:
abnormalities originating in the perinatal period (P29.1)
specified arrhythmias (I47-I49)
R00.0 Tachycardia, unspecified
Incl.:
Rapid heart beat
Tachycardia:
  • sinoauricular NOS
  • sinus [sinusal] NOS
R00.1 Bradycardia, unspecified
Incl.:
Bradycardia:
  • sinoatrial
  • sinus
  • vagal
Slow heart beat
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
R00.2 Palpitations
Incl.:
Awareness of heart beat
R00.8 Other and unspecified abnormalities of heart beat

R01 Cardiac murmurs and other cardiac sounds

Excl.:
those originating in the perinatal period (P29.8)
R01.0 Benign and innocent cardiac murmurs
Incl.:
Functional cardiac murmur
R01.1 Cardiac murmur, unspecified
Incl.:
Cardiac bruit NOS
Systolic murmur NOS
R01.2 Other cardiac sounds
Incl.:
Cardiac dullness, increased or decreased
Precordial friction

R02 Gangrene, not elsewhere classified

Excl.:
gangrene in:
gangrene of certain specified sites - see Alphabetical Index
gas gangrene (A48.0)
pyoderma gangrenosum (L88)

R03 Abnormal blood-pressure reading, without diagnosis

R03.0 Elevated blood-pressure reading, without diagnosis of hypertension
Note:

This category is to be used to record an episode of elevated blood pressure in a patient in whom no formal diagnosis of hypertension has been made, or as an isolated incidental finding.

R03.1 Nonspecific low blood-pressure reading
Excl.:
hypotension (I95.-)
maternal hypotension syndrome (O26.5)
neurogenic orthostatic hypotension (G23.8)

R04 Haemorrhage from respiratory passages

R04.0 Epistaxis
Incl.:
Haemorrhage from nose
Nosebleed
R04.1 Haemorrhage from throat
Excl.:
haemoptysis (R04.2)
R04.2 Haemoptysis
Incl.:
Blood-stained sputum
Cough with haemorrhage
R04.8 Haemorrhage from other sites in respiratory passages
Incl.:
Pulmonary haemorrhage NOS
Excl.:
perinatal pulmonary haemorrhage (P26.-)
R04.9 Haemorrhage from respiratory passages, unspecified

R05 Cough

Excl.:
cough with haemorrhage (R04.2)
psychogenic cough (F45.3)

R06 Abnormalities of breathing

Excl.:
respiratory:
  • arrest (R09.2)
  • distress:
    • syndrome of adult (J80)
    • in newborn (P22.-)
  • failure (J96.-)
  • failure
R06.0 Dyspnoea
Incl.:
Orthopnoea
Shortness of breath
Excl.:
transient tachypnoea of newborn (P22.1)
R06.1 Stridor
Excl.:
congenital laryngeal stridor (P28.8)
laryngismus (stridulus) (J38.5)
R06.2 Wheezing
R06.3 Periodic breathing
Incl.:
Cheyne-Stokes breathing
R06.4 Hyperventilation
Excl.:
psychogenic hyperventilation (F45.3)
R06.5 Mouth breathing
Incl.:
Snoring
Excl.:
dry mouth NOS (R68.2)
R06.6 Hiccough
Excl.:
psychogenic hiccough (F45.3)
R06.7 Sneezing
R06.8 Other and unspecified abnormalities of breathing
Incl.:
Apnoea NOS
Breath-holding (spells)
Choking sensation
Sighing
Excl.:
apnoea (of):

R07 Pain in throat and chest

Excl.:
dysphagia (R13)
epidemic myalgia (B33.0)
pain in:
sore throat (acute) NOS (J02.9)
R07.0 Pain in throat
R07.1 Chest pain on breathing
Incl.:
Painful respiration
R07.2 Precordial pain
R07.3 Other chest pain
Incl.:
Anterior chest-wall pain NOS
R07.4 Chest pain, unspecified

R09 Other symptoms and signs involving the circulatory and respiratory systems

Excl.:
respiratory:
  • distress (syndrome)(of):
  • failure (J96.-)
  • failure
R09.0 Asphyxia
Excl.:
asphyxia (due to):
  • birth (P21.-)
  • carbon monoxide (T58)
  • foreign body in respiratory tract (T17.-)
  • intrauterine (P20.-)
  • traumatic (T71)
R09.1 Pleurisy
Excl.:
pleurisy with effusion (J90)
R09.2 Respiratory arrest
Incl.:
Cardiorespiratory failure
R09.3 Abnormal sputum
Incl.:
  • Abnormal:
    • amount
    • colour
    • odour
  • Excessive
  • (of) sputum
Excl.:
blood-stained sputum (R04.2)
R09.8 Other specified symptoms and signs involving the circulatory and respiratory systems
Incl.:
Bruit (arterial)
Chest:
  • abnormal percussion
  • friction sounds
  • tympany
Rales
Weak pulse

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)

Symptoms and signs involving the digestive system and abdomen
(R10-R19)

Excl.:
gastrointestinal haemorrhage (K92.0-K92.2)
gastrointestinal haemorrhage
intestinal obstruction (K56.-)
intestinal obstruction
pylorospasm (K31.3)
pylorospasm
  • congenital or infantile (Q40.0)
symptoms and signs involving the urinary system (R30-R39)
symptoms referable to genital organs:

R10 Abdominal and pelvic pain

Excl.:
dorsalgia (M54.-)
flatulence and related conditions (R14)
renal colic (N23)
R10.0 Acute abdomen
Incl.:
Severe abdominal pain (generalized)(localized)(with abdominal rigidity)
R10.1 Pain localized to upper abdomen
Incl.:
Dyspepsia NOS
Epigastric pain
Excl.:
functional dyspepsia (K30)
R10.2 Pelvic and perineal pain
R10.3 Pain localized to other parts of lower abdomen
R10.4 Other and unspecified abdominal pain
Incl.:
Abdominal tenderness NOS
Colic:
  • NOS
  • infantile

R11 Nausea and vomiting

Excl.:
haematemesis (K92.0)
haematemesis
vomiting (of):
  • excessive, in pregnancy (O21.-)
  • following gastrointestinal surgery (K91.0)
  • newborn (P92.0)
  • psychogenic (F50.5)

R12 Heartburn

Excl.:
dyspepsia:

R13 Dysphagia

Incl.:
Difficulty in swallowing

R14 Flatulence and related conditions

Incl.:
Abdominal distension (gaseous)
Bloating
Eructation
Gas pain
Tympanites (abdominal)(intestinal)
Excl.:
psychogenic aerophagy (F45.3)

R15 Faecal incontinence

Incl.:
Encopresis NOS
Excl.:
that of nonorganic origin (F98.1)

R16 Hepatomegaly and splenomegaly, not elsewhere classified

R16.0 Hepatomegaly, not elsewhere classified
Incl.:
Hepatomegaly NOS
R16.1 Splenomegaly, not elsewhere classified
Incl.:
Splenomegaly NOS
R16.2 Hepatomegaly with splenomegaly, not elsewhere classified
Incl.:
Hepatosplenomegaly NOS

R17 Unspecified jaundice

Excl.:
neonatal jaundice (P55.-, P57-P59)

R18 Ascites

Incl.:
Fluid in peritoneal cavity

R19 Other symptoms and signs involving the digestive system and abdomen

Excl.:
acute abdomen (R10.0)
R19.0 Intra-abdominal and pelvic swelling, mass and lump
Incl.:
Diffuse or generalized swelling or mass:
  • intra-abdominal NOS
  • pelvic NOS
  • umbilical
Excl.:
abdominal distension (gaseous) (R14)
ascites (R18)
R19.1 Abnormal bowel sounds
Incl.:
Absent bowel sounds
Hyperactive bowel sounds
R19.2 Visible peristalsis
Incl.:
Hyperperistalsis
R19.3 Abdominal rigidity
Excl.:
that with severe abdominal pain (R10.0)
R19.4 Change in bowel habit
Excl.:
constipation (K59.0)
functional diarrhoea (K59.1)
R19.5 Other faecal abnormalities
Incl.:
Abnormal stool colour
Bulky stools
Mucus in stools
Occult blood in stools
Excl.:
melaena (K92.1)
melaena
R19.6 Halitosis
R19.8 Other specified symptoms and signs involving the digestive system and abdomen

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)

R20 Disturbances of skin sensation

Excl.:
dissociative anaesthesia and sensory loss (F44.6)
psychogenic disturbances (F45.8)
R20.0 Anaesthesia of skin
R20.1 Hypoaesthesia of skin
R20.2 Paraesthesia of skin
Incl.:
Formication
Pins and needles
Tingling skin
Excl.:
acroparaesthesia (I73.8)
R20.3 Hyperaesthesia
R20.8 Other and unspecified disturbances of skin sensation

R21 Rash and other nonspecific skin eruption

R22 Localized swelling, mass and lump of skin and subcutaneous tissue

Incl.:
subcutaneous nodules (localized)(superficial)
Excl.:
abnormal findings on diagnostic imaging (R90-R93)
enlarged lymph nodes (R59.-)
localized adiposity (E65)
mass and lump:
  • breast (N63)
  • intra-abdominal or pelvic (R19.0)
oedema (R60.-)
swelling (of):
R22.0 Localized swelling, mass and lump, head
R22.1 Localized swelling, mass and lump, neck
R22.2 Localized swelling, mass and lump, trunk
R22.3 Localized swelling, mass and lump, upper limb
R22.4 Localized swelling, mass and lump, lower limb
R22.7 Localized swelling, mass and lump, multiple sites
R22.9 Localized swelling, mass and lump, unspecified

R23 Other skin changes

R23.0 Cyanosis
Excl.:
acrocyanosis (I73.8)
cyanotic attacks of newborn (P28.2)
R23.1 Pallor
Incl.:
Clammy skin
R23.2 Flushing
Incl.:
Excessive blushing
Excl.:
menopausal and female climacteric states (N95.1)
R23.3 Spontaneous ecchymoses
Incl.:
Petechiae
Excl.:
ecchymoses in fetus and newborn (P54.5)
purpura (D69.-)
R23.4 Changes in skin texture
Incl.:
  • Desquamation
  • Induration
  • Scaling
  • of skin
Excl.:
epidermal thickening NOS (L85.9)
R23.8 Other and unspecified skin changes

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)

R25 Abnormal involuntary movements

Excl.:
specific movement disorders (G20-G26)
stereotyped movement disorders (F98.4)
tic disorders (F95.-)
R25.0 Abnormal head movements
R25.1 Tremor, unspecified
Excl.:
chorea NOS (G25.5)
tremor:
R25.2 Cramp and spasm
Excl.:
carpopedal spasm (R29.0)
infantile spasms (G40.4)
R25.3 Fasciculation
Incl.:
Twitching NOS
R25.8 Other and unspecified abnormal involuntary movements

R26 Abnormalities of gait and mobility

Excl.:
ataxia:
immobility syndrome (paraplegic) (M62.3)
R26.0 Ataxic gait
Incl.:
Staggering gait
R26.1 Paralytic gait
Incl.:
Spastic gait
R26.2 Difficulty in walking, not elsewhere classified
R26.3 Immobility
Incl.:
Bedfast
Chairfast
R26.8 Other and unspecified abnormalities of gait and mobility
Incl.:
Unsteadiness on feet NOS

R27 Other lack of coordination

Excl.:
ataxic gait (R26.0)
hereditary ataxia (G11.-)
vertigo NOS (R42)
R27.0 Ataxia, unspecified
R27.8 Other and unspecified lack of coordination

R29 Other symptoms and signs involving the nervous and musculoskeletal systems

R29.0 Tetany
Incl.:
Carpopedal spasm
Excl.:
tetany:
R29.1 Meningismus
R29.2 Abnormal reflex
Excl.:
abnormal pupillary reflex (H57.0)
hyperactive gag reflex (J39.2)
vasovagal reaction or syncope (R55)
R29.3 Abnormal posture
R29.4 Clicking hip
Excl.:
congenital deformities of hip (Q65.-)
R29.6 Tendency to fall, not elsewhere classified
Incl.:
Tendency to fall because of old age or other unclear health problems
Excl.:
accidents (X59.-)
difficulty in walking (R26.2)
dizziness and giddiness (R42)
falls causing injury (W00-W19)
falls due to diseases classified elsewhere
syncope and collapse (R55)
R29.8 Other and unspecified symptoms and signs involving the nervous and musculoskeletal systems

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)

R30 Pain associated with micturition

Excl.:
psychogenic pain (F45.3)
R30.0 Dysuria
Incl.:
Strangury
R30.1 Vesical tenesmus
R30.9 Painful micturition, unspecified
Incl.:
Painful urination NOS

R31 Unspecified haematuria

Excl.:
recurrent or persistent haematuria (N02.-)

R32 Unspecified urinary incontinence

Incl.:
Enuresis NOS
Excl.:
nonorganic enuresis (F98.0)
stress incontinence and other specified urinary incontinence (N39.3-N39.4)

R33 Retention of urine

R34 Anuria and oliguria

Excl.:
that complicating:
  • abortion or ectopic or molar pregnancy (O00-O07, O08.4)
  • pregnancy, childbirth and the puerperium (O26.8, O90.4)

R35 Polyuria

Incl.:
Frequency of micturition
Nocturia
Excl.:
psychogenic polyuria (F45.3)

R36 Urethral discharge

Incl.:
Penile discharge
Urethrorrhoea

R39 Other symptoms and signs involving the urinary system

R39.0 Extravasation of urine
R39.1 Other difficulties with micturition
Incl.:
Hesitancy of micturition
Poor urinary stream
Splitting of urinary stream
R39.2 Extrarenal uraemia
Incl.:
Prerenal uraemia
R39.8 Other and unspecified symptoms and signs involving the urinary system

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)

Symptoms and signs involving cognition, perception, emotional state and behaviour
(R40-R46)

Excl.:
those constituting part of a pattern of mental disorder (F00-F99)

R40 Somnolence, stupor and coma

Excl.:
coma:
R40.0 Somnolence
Incl.:
Drowsiness
R40.1 Stupor
Incl.:
Semicoma
Excl.:
stupor:
R40.2 Coma, unspecified
Incl.:
Unconsciousness NOS

R41 Other symptoms and signs involving cognitive functions and awareness

Excl.:
dissociative [conversion] disorders (F44.-)
R41.0 Disorientation, unspecified
Incl.:
Confusion NOS
Excl.:
psychogenic disorientation (F44.8)
R41.1 Anterograde amnesia
R41.2 Retrograde amnesia
R41.3 Other amnesia
Incl.:
Amnesia NOS
Excl.:
amnesic syndrome:
transient global amnesia (G45.4)
R41.8 Other and unspecified symptoms and signs involving cognitive functions and awareness

R42 Dizziness and giddiness

Incl.:
Light-headedness
Vertigo NOS
Excl.:
vertiginous syndromes (H81.-)

R43 Disturbances of smell and taste

R43.0 Anosmia
R43.1 Parosmia
R43.2 Parageusia
R43.8 Other and unspecified disturbances of smell and taste
Incl.:
Mixed disturbance of smell and taste

R44 Other symptoms and signs involving general sensations and perceptions

Excl.:
disturbances of skin sensation (R20.-)
R44.0 Auditory hallucinations
R44.1 Visual hallucinations
R44.2 Other hallucinations
R44.3 Hallucinations, unspecified
R44.8 Other and unspecified symptoms and signs involving general sensations and perceptions

R45 Symptoms and signs involving emotional state

R45.0 Nervousness
Incl.:
Nervous tension
R45.1 Restlessness and agitation
R45.2 Unhappiness
Incl.:
Worries NOS
R45.3 Demoralization and apathy
R45.4 Irritability and anger
R45.5 Hostility
R45.6 Physical violence
R45.7 State of emotional shock and stress, unspecified
R45.8 Other symptoms and signs involving emotional state
Incl.:
Suicidal ideation (tendencies)
Excl.:
signs and symptoms constituting part of a mental disorder (F00-F99)

R46 Symptoms and signs involving appearance and behaviour

R46.0 Very low level of personal hygiene
R46.1 Bizarre personal appearance
R46.2 Strange and inexplicable behaviour
R46.3 Overactivity
R46.4 Slowness and poor responsiveness
Excl.:
stupor (R40.1)
R46.5 Suspiciousness and marked evasiveness
R46.6 Undue concern and preoccupation with stressful events
R46.7 Verbosity and circumstantial detail obscuring reason for contact
R46.8 Other symptoms and signs involving appearance and behaviour
Incl.:
Self neglect NOS
Excl.:
insufficient intake of food and water due to self neglect (R63.6)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)

R47 Speech disturbances, not elsewhere classified

Excl.:
autism (F84.0-F84.1)
cluttering (F98.6)
specific developmental disorders of speech and language (F80.-)
stuttering [stammering] (F98.5)
R47.0 Dysphasia and aphasia
Excl.:
progressive isolated aphasia (G31.0)
R47.1 Dysarthria and anarthria
R47.8 Other and unspecified speech disturbances

R48 Dyslexia and other symbolic dysfunctions, not elsewhere classified

Excl.:
specific developmental disorders of scholastic skills (F81.-)
R48.0 Dyslexia and alexia
R48.1 Agnosia
R48.2 Apraxia
R48.8 Other and unspecified symbolic dysfunctions
Incl.:
Acalculia
Agraphia

R49 Voice disturbances

Excl.:
psychogenic voice disturbance (F44.4)
R49.0 Dysphonia
Incl.:
Hoarseness
R49.1 Aphonia
Incl.:
Loss of voice
R49.2 Hypernasality and hyponasality
R49.8 Other and unspecified voice disturbances
Incl.:
Change in voice NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)

R50 Fever of other and unknown origin

Excl.:
fever of unknown origin (during)(in):
puerperal pyrexia NOS (O86.4)
R50.2 Drug-induced fever
Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify drug.
R50.8 Other specified fever
Incl.:
Fever with chills
Fever with rigors
Persistent fever
R50.9 Fever, unspecified
Incl.:
Hyperpyrexia NOS
Pyrexia NOS
Excl.:
malignant hyperthermia due to anaesthesia (T88.3)

R51 Headache

Incl.:
Facial pain NOS
Excl.:
atypical facial pain (G50.1)
migraine and other headache syndromes (G43-G44)
trigeminal neuralgia (G50.0)

R52 Pain, not elsewhere classified

Incl.:
pain not referable to any one organ or body region
Excl.:
chronic pain personality syndrome (F62.8)
headache (R51)
pain (in):
renal colic (N23)
R52.0 Acute pain
R52.1 Chronic intractable pain
R52.2 Other chronic pain
R52.9 Pain, unspecified
Incl.:
Generalized pain NOS

R53 Malaise and fatigue

Incl.:
Asthenia NOS
Debility:
  • NOS
  • chronic
General physical deterioration
Lethargy
Tiredness
Excl.:
debility:
exhaustion and fatigue (due to)(in):
fatigue syndrome (F48.0)
fatigue syndrome

R54 Senility

Incl.:
  • Old age
  • Senescence
  • without mention of psychosis
Senile:
  • asthenia
  • debility
Excl.:
senile psychosis (F03)

R55 Syncope and collapse

Incl.:
Blackout
Fainting
Excl.:
neurocirculatory asthenia (F45.3)
orthostatic hypotension (I95.1)
neurogenic orthostatic hypotension (G23.8)
shock:
  • NOS (R57.9)
  • cardiogenic (R57.0)
  • complicating or following:
    • abortion or ectopic or molar pregnancy (O00-O07, O08.3)
    • labour and delivery (O75.1)
  • postoperative (T81.1)
Stokes-Adams attack (I45.9)
syncope:
unconsciousness NOS (R40.2)

R56 Convulsions, not elsewhere classified

Excl.:
convulsions and seizures (in):
R56.0 Febrile convulsions
R56.8 Other and unspecified convulsions
Incl.:
Fit NOS
Seizure (convulsive) NOS

R57 Shock, not elsewhere classified

Excl.:
shock (due to):
toxic shock syndrome (A48.3)
R57.0 Cardiogenic shock
R57.1 Hypovolaemic shock
R57.2 Septic shock
R57.8 Other shock
Incl.:
Endotoxic shock
R57.9 Shock, unspecified
Incl.:
Failure of peripheral circulation NOS

R58 Haemorrhage, not elsewhere classified

Incl.:
Haemorrhage NOS

R59 Enlarged lymph nodes

Incl.:
swollen glands
Excl.:
lymphadenitis:
R59.0 Localized enlarged lymph nodes
R59.1 Generalized enlarged lymph nodes
Incl.:
Lymphadenopathy NOS
Excl.:
HIV disease resulting in (persistent) generalized lymphadenopathy (B23.1)
R59.9 Enlarged lymph nodes, unspecified

R60 Oedema, not elsewhere classified

Excl.:
ascites (R18)
hydrops fetalis NOS (P83.2)
hydrothorax (J94.8)
oedema (of):
R60.0 Localized oedema
R60.1 Generalized oedema
R60.9 Oedema, unspecified
Incl.:
Fluid retention NOS

R61 Hyperhidrosis

R61.0 Localized hyperhidrosis
R61.1 Generalized hyperhidrosis
R61.9 Hyperhidrosis, unspecified
Incl.:
Excessive sweating
Night sweats

R62 Lack of expected normal physiological development

Excl.:
delayed puberty (E30.0)
R62.0 Delayed milestone
Incl.:
Delayed attainment of expected physiological developmental stage
Late:
  • talker
  • walker
R62.8 Other lack of expected normal physiological development
Incl.:
Failure to:
  • gain weight
  • thrive
Infantilism NOS
Lack of growth
Physical retardation
Excl.:
HIV disease resulting in failure to thrive (B22.2)
physical retardation due to malnutrition (E45)
R62.9 Lack of expected normal physiological development, unspecified

R63 Symptoms and signs concerning food and fluid intake

Excl.:
bulimia NOS (F50.2)
eating disorders of nonorganic origin (F50.-)
malnutrition (E40-E46)
R63.0 Anorexia
Incl.:
Loss of appetite
Excl.:
anorexia nervosa (F50.0)
loss of appetite of nonorganic origin (F50.8)
R63.1 Polydipsia
Incl.:
Excessive thirst
R63.2 Polyphagia
Incl.:
Excessive eating
Hyperalimentation NOS
R63.3 Feeding difficulties and mismanagement
Incl.:
Feeding problem NOS
Excl.:
feeding problems of newborn (P92.-)
infant feeding disorder of nonorganic origin (F98.2)
R63.4 Abnormal weight loss
R63.5 Abnormal weight gain
Excl.:
excessive weight gain in pregnancy (O26.0)
obesity (E66.-)
R63.6 Insufficient intake of food and water due to self neglect
Excl.:
starvation due to anorexia (R63.0)
starvation due to privation of food (X53)
thirst due to privation of water (X54)
self neglect NOS (R46.8)
R63.8 Other symptoms and signs concerning food and fluid intake

R64 Cachexia

Excl.:
HIV disease resulting in wasting syndrome (B22.2)
malignant cachexia (C80.-)
nutritional marasmus (E41)

R65 Systemic Inflammatory Response Syndrome [SIRS]

Note:
This category should never be used in primary coding. The category is for use in multiple coding to identify this condition resulting from any cause. A code from another chapter should be assigned first to indicate the cause or underlying disease.
R65.0 Systemic Inflammatory Response Syndrome of infectious origin without organ failure
R65.1 Systemic Inflammatory Response Syndrome of infectious origin with organ failure
Incl.:
Severe sepsis
R65.2 Systemic Inflammatory Response Syndrome of non-infectious origin without organ failure
R65.3 Systemic Inflammatory Response Syndrome of non-infectious origin with organ failure
R65.9 Systemic Inflammatory Response Syndrome, unspecified

R68 Other general symptoms and signs

R68.0 Hypothermia, not associated with low environmental temperature
Excl.:
hypothermia (due to)(of):
  • NOS (accidental) (T68)
  • anaesthesia (T88.5)
  • low environmental temperature (T68)
  • newborn (P80.-)
R68.1 Nonspecific symptoms peculiar to infancy
Incl.:
Excessive crying of infant
Irritable infant
Excl.:
neonatal cerebral irritability (P91.3)
teething syndrome (K00.7)
R68.2 Dry mouth, unspecified
Excl.:
dry mouth due to:
  • dehydration (E86)
  • sicca syndrome [Sjögren] (M35.0)
salivary gland hyposecretion (K11.7)
R68.3 Clubbing of fingers
Incl.:
Clubbing of nails
Excl.:
congenital clubfinger (Q68.1)
congenital clubnail (Q84.6)
R68.8 Other specified general symptoms and signs

R69 Unknown and unspecified causes of morbidity

Incl.:
Illness NOS
Undiagnosed disease, not specified as to the site or system involved

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)

Abnormal findings on examination of blood, without diagnosis
(R70-R79)

Excl.:
abnormalities (of)(on):
  • antenatal screening of mother (O28.-)
  • coagulation (D65-D68)
  • lipids (E78.-)
  • platelets and thrombocytes (D69.-)
  • white blood cells classified elsewhere (D70-D72)
diagnostic abnormal findings classified elsewhere - see Alphabetical Index
haemorrhagic and haematological disorders of fetus and newborn (P50-P61)

R70 Elevated erythrocyte sedimentation rate and abnormality of plasma viscosity

R70.0 Elevated erythrocyte sedimentation rate
R70.1 Abnormal plasma viscosity

R71 Abnormality of red blood cells

Incl.:
Abnormal red-cell:
  • morphology NOS
  • volume NOS
Anisocytosis
Poikilocytosis
Excl.:
anaemias (D50-D64)
polycythaemia:

R72 Abnormality of white blood cells, not elsewhere classified

Incl.:
Abnormal leukocyte differential NOS
Excl.:
leukocytosis (D72.8)

R73 Elevated blood glucose level

Excl.:
diabetes mellitus (E10-E14)
diabetes mellitus
  • in pregnancy, childbirth and the puerperium (O24.-)
neonatal disorders (P70.0-P70.2)
postsurgical hypoinsulinaemia (E89.1)
R73.0 Abnormal glucose tolerance test
Incl.:
Diabetes:
  • chemical
  • latent
Impaired glucose tolerance
Prediabetes
R73.9 Hyperglycaemia, unspecified

R74 Abnormal serum enzyme levels

R74.0 Elevation of levels of transaminase and lactic acid dehydrogenase [LDH]
R74.8 Abnormal levels of other serum enzymes
Incl.:
Abnormal level of:
  • acid phosphatase
  • alkaline phosphatase
  • amylase
  • lipase [triacylglycerol lipase]
R74.9 Abnormal level of unspecified serum enzyme

R75 Laboratory evidence of human immunodeficiency virus [HIV]

Incl.:
Nonconclusive HIV-test finding in infants
Excl.:
asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
human immunodeficiency virus [HIV] disease (B20-B24)
human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium (O98.7)

R76 Other abnormal immunological findings in serum

R76.0 Raised antibody titre
Excl.:
isoimmunization, in pregnancy (O36.0-O36.1)
isoimmunization, in pregnancy
  • affecting fetus or newborn (P55.-)
R76.1 Abnormal reaction to tuberculin test
Incl.:
Abnormal result of Mantoux test
R76.2 False-positive serological test for syphilis
Incl.:
False-positive Wassermann reaction
R76.8 Other specified abnormal immunological findings in serum
Incl.:
Raised level of immunoglobulins NOS
R76.9 Abnormal immunological finding in serum, unspecified

R77 Other abnormalities of plasma proteins

Excl.:
disorders of plasma-protein metabolism (E88.0)
R77.0 Abnormality of albumin
R77.1 Abnormality of globulin
Incl.:
Hyperglobulinaemia NOS
R77.2 Abnormality of alphafetoprotein
R77.8 Other specified abnormalities of plasma proteins
R77.9 Abnormality of plasma protein, unspecified

R78 Findings of drugs and other substances, not normally found in blood

Excl.:
mental and behavioural disorders due to psychoactive substance use (F10-F19)
R78.0 Finding of alcohol in blood
Coding-Hint
Use additional external cause code (Y90), if desired, for detail regarding alcohol level.
R78.1 Finding of opiate drug in blood
R78.2 Finding of cocaine in blood
R78.3 Finding of hallucinogen in blood
R78.4 Finding of other drugs of addictive potential in blood
R78.5 Finding of psychotropic drug in blood
R78.6 Finding of steroid agent in blood
R78.7 Finding of abnormal level of heavy metals in blood
R78.8 Finding of other specified substances, not normally found in blood
Incl.:
Finding of abnormal level of lithium in blood
R78.9 Finding of unspecified substance, not normally found in blood

R79 Other abnormal findings of blood chemistry

Excl.:
abnormality of fluid, electrolyte or acid-base balance (E86-E87)
asymptomatic hyperuricaemia (E79.0)
hyperglycaemia NOS (R73.9)
hypoglycaemia NOS (E16.2)
hypoglycaemia NOS
specific findings indicating disorder of:
R79.0 Abnormal level of blood mineral
Incl.:
Abnormal blood level of:
  • cobalt
  • copper
  • iron
  • magnesium
  • mineral NEC
  • zinc
Excl.:
abnormal level of lithium (R78.8)
disorders of mineral metabolism (E83.-)
neonatal hypomagnesaemia (P71.2)
nutritional mineral deficiency (E58-E61)
R79.8 Other specified abnormal findings of blood chemistry
Incl.:
Abnormal blood-gas level
R79.9 Abnormal finding of blood chemistry, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)

Abnormal findings on examination of urine, without diagnosis
(R80-R82)

Excl.:
abnormal findings on antenatal screening of mother (O28.-)
diagnostic abnormal findings classified elsewhere - see Alphabetical Index
specific findings indicating disorder of:

R80 Isolated proteinuria

Incl.:
Albuminuria NOS
Bence Jones proteinuria
Proteinuria NOS
Excl.:
proteinuria:
  • gestational (O12.1)
  • isolated, with specified morphological lesion (N06.-)
  • orthostatic (N39.2)
  • persistent (N39.1)

R81 Glycosuria

Excl.:
renal glycosuria (E74.8)

R82 Other abnormal findings in urine

Excl.:
haematuria (R31)
R82.0 Chyluria
Excl.:
filarial chyluria (B74.-)
R82.1 Myoglobinuria
R82.2 Biliuria
R82.3 Haemoglobinuria
Excl.:
haemoglobinuria:
  • due to haemolysis from external causes NEC (D59.6)
  • paroxysmal nocturnal [Marchiafava-Micheli] (D59.5)
R82.4 Acetonuria
Incl.:
Ketonuria
R82.5 Elevated urine levels of drugs, medicaments and biological substances
Incl.:
Elevated urine levels of:
  • catecholamines
  • indoleacetic acid
  • 17-ketosteroids
  • steroids
R82.6 Abnormal urine levels of substances chiefly nonmedicinal as to source
Incl.:
Abnormal urine level of heavy metals
R82.7 Abnormal findings on microbiological examination of urine
Incl.:
Positive culture findings
R82.8 Abnormal findings on cytological and histological examination of urine
R82.9 Other and unspecified abnormal findings in urine
Incl.:
Cells and casts in urine
Crystalluria
Melanuria

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)

Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis
(R83-R89)

Excl.:
abnormal findings on:
  • antenatal screening of mother (O28.-)
  • examination of:
    • blood, without diagnosis (R70-R79)
    • urine, without diagnosis (R80-R82)
diagnostic abnormal findings classified elsewhere - see Alphabetical Index
Modifiers

The following fourth-character subdivisions are for use with categories R83-R89:

Code Title
.0
Abnormal level of enzymes
.1
Abnormal level of hormones
.2
Abnormal level of other drugs, medicaments and biological substances
.3
Abnormal level of substances chiefly nonmedicinal as to source
.4
Abnormal immunological findings
.5
Abnormal microbiological findings
Incl.:
Positive culture findings
.6
Abnormal cytological findings
Incl.:
Abnormal Papanicolaou smear
.7
Abnormal histological findings
.8
Other abnormal findings
Incl.:
Abnormal chromosomal findings
.9
Unspecified abnormal finding

R83 Abnormal findings in cerebrospinal fluid

R84 Abnormal findings in specimens from respiratory organs and thorax

Incl.:
Abnormal findings in:
  • bronchial washings
  • nasal secretions
  • pleural fluid
  • sputum
  • throat scrapings
Excl.:
blood-stained sputum (R04.2)

R85 Abnormal findings in specimens from digestive organs and abdominal cavity

Incl.:
Abnormal findings in:
  • peritoneal fluid
  • saliva
Excl.:
faecal abnormalities (R19.5)

R86 Abnormal findings in specimens from male genital organs

Incl.:
Abnormal findings in:
  • prostatic secretions
  • semen, seminal fluid
Abnormal spermatozoa
Excl.:
azoospermia (N46)
oligospermia (N46)

R87 Abnormal findings in specimens from female genital organs

Incl.:
Abnormal findings in secretions and smears from:
  • cervix uteri
  • vagina
  • vulva
Excl.:
carcinoma in situ (D05-D07.3)
dysplasia of:

R89 Abnormal findings in specimens from other organs, systems and tissues

Incl.:
Abnormal findings in:
  • nipple discharge
  • synovial fluid
  • wound secretions

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)

Abnormal findings on diagnostic imaging and in function studies, without diagnosis
(R90-R94)

Incl.:
nonspecific abnormal findings on diagnostic imaging by:
  • computerized axial tomography [CAT scan]
  • magnetic resonance imaging [MRI][NMR]
  • positron emission tomography [PET scan]
  • thermography
  • ultrasound [echogram]
  • X-ray examination
Excl.:
abnormal findings on antenatal screening of mother (O28.-)
diagnostic abnormal findings classified elsewhere - see Alphabetical Index

R90 Abnormal findings on diagnostic imaging of central nervous system

R90.0 Intracranial space-occupying lesion
R90.8 Other abnormal findings on diagnostic imaging of central nervous system
Incl.:
Abnormal echoencephalogram
White matter disease NOS

R91 Abnormal findings on diagnostic imaging of lung

Incl.:
Coin lesion NOS
Lung mass NOS

R92 Abnormal findings on diagnostic imaging of breast

R93 Abnormal findings on diagnostic imaging of other body structures

R93.0 Abnormal findings on diagnostic imaging of skull and head, not elsewhere classified
Excl.:
intracranial space-occupying lesion (R90.0)
R93.1 Abnormal findings on diagnostic imaging of heart and coronary circulation
Incl.:
Abnormal:
  • echocardiogram NOS
  • heart shadow
R93.2 Abnormal findings on diagnostic imaging of liver and biliary tract
Incl.:
Nonvisualization of gallbladder
R93.3 Abnormal findings on diagnostic imaging of other parts of digestive tract
R93.4 Abnormal findings on diagnostic imaging of urinary organs
Incl.:
Filling defect of:
  • bladder
  • kidney
  • ureter
Excl.:
hypertrophy of kidney (N28.8)
R93.5 Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum
R93.6 Abnormal findings on diagnostic imaging of limbs
Excl.:
abnormal finding in skin and subcutaneous tissue (R93.8)
R93.7 Abnormal findings on diagnostic imaging of other parts of musculoskeletal system
Excl.:
abnormal findings on diagnostic imaging of skull (R93.0)
R93.8 Abnormal findings on diagnostic imaging of other specified body structures
Incl.:
Abnormal radiological finding in skin and subcutaneous tissue
Mediastinal shift

R94 Abnormal results of function studies

Incl.:
abnormal results of:
  • radionuclide [radioisotope] uptake studies
  • scintigraphy
R94.0 Abnormal results of function studies of central nervous system
Incl.:
Abnormal electroencephalogram [EEG]
R94.1 Abnormal results of function studies of peripheral nervous system and special senses
Incl.:
Abnormal:
  • electromyogram [EMG]
  • electro-oculogram [EOG]
  • electroretinogram [ERG]
  • response to nerve stimulation
  • visually evoked potential [VEP]
R94.2 Abnormal results of pulmonary function studies
Incl.:
Reduced:
  • ventilatory capacity
  • vital capacity
R94.3 Abnormal results of cardiovascular function studies
Incl.:
Abnormal:
  • electrocardiogram [ECG][EKG]
  • electrophysiological intracardiac studies
  • phonocardiogram
  • vectorcardiogram
R94.4 Abnormal results of kidney function studies
Incl.:
Abnormal renal function test
R94.5 Abnormal results of liver function studies
R94.6 Abnormal results of thyroid function studies
R94.7 Abnormal results of other endocrine function studies
Excl.:
abnormal glucose tolerance test (R73.0)
R94.8 Abnormal results of function studies of other organs and systems
Incl.:
Abnormal:
  • basal metabolic rate [BMR]
  • bladder function test
  • splenic function test

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)

Ill-defined and unknown causes of mortality
(R95-R99)

Excl.:
fetal death of unspecified cause (P95)
obstetric death NOS (O95)

R95 Sudden infant death syndrome

R95.0 Sudden infant death syndrome with mention of autopsy
R95.9 Sudden infant death syndrome without mention of autopsy
Incl.:
Sudden infant death syndrome, unspecified

R96 Other sudden death, cause unknown

Excl.:
sudden:
  • cardiac death, so described (I46.1)
  • infant death syndrome (R95.-)
R96.0 Instantaneous death
Incl.:
Sudden unexplained death in adult
Excl.:
Sudden death of known aetiology (A00.0-Q99.9, U04.9, V01.0-Y89.9)
R96.1 Death occurring less than 24 hours from onset of symptoms, not otherwise explained
Incl.:
Death known not to be violent or instantaneous for which no cause can be discovered
Death without sign of disease

R98 Unattended death

Incl.:
Death in circumstances where the body of the deceased was found and no cause could be discovered
Found dead

R99 Other ill-defined and unspecified causes of mortality

Incl.:
Death NOS
Unknown cause of mortality

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Injuries to the head
(S00-S09)

Incl.:
injuries of:
  • ear
  • eye
  • face [any part]
  • gum
  • jaw
  • temporomandibular joint area
  • oral cavity
  • palate
  • periocular area
  • scalp
  • tongue
  • tooth
Excl.:
burns and corrosions (T20-T32)
effects of foreign body:
frostbite (T33-T35)
insect bite or sting, venomous (T63.4)

S00 Superficial injury of head

Excl.:
cerebral contusion (diffuse) (S06.2)
focal cerebral contusion (diffuse) (S06.3)
injury of eye and orbit (S05.-)
S00.0 Superficial injury of scalp
S00.1 Contusion of eyelid and periocular area
Incl.:
Black eye
Excl.:
contusion of eyeball and orbital tissues (S05.1)
S00.2 Other superficial injuries of eyelid and periocular area
Excl.:
superficial injury of conjunctiva and cornea (S05.0)
S00.3 Superficial injury of nose
S00.4 Superficial injury of ear
S00.5 Superficial injury of lip and oral cavity
S00.7 Multiple superficial injuries of head
S00.8 Superficial injury of other parts of head
S00.9 Superficial injury of head, part unspecified

S01 Open wound of head

Excl.:
decapitation (S18)
injury of eye and orbit (S05.-)
traumatic amputation of part of head (S08.-)
S01.0 Open wound of scalp
Excl.:
avulsion of scalp (S08.0)
S01.1 Open wound of eyelid and periocular area
Incl.:
Open wound of eyelid and periocular area with or without involvement of lacrimal passages
S01.2 Open wound of nose
S01.3 Open wound of ear
S01.4 Open wound of cheek and temporomandibular area
S01.5 Open wound of lip and oral cavity
Excl.:
tooth:
S01.7 Multiple open wounds of head
S01.8 Open wound of other parts of head
S01.9 Open wound of head, part unspecified

S02 Fracture of skull and facial bones

Note:

For primary coding of fracture of skull and facial bones with associated intracranial injury, reference should be made to the morbidity or mortality coding rules and guidelines in Volume 2.

Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code Title
0
closed
1
open
S02.0 Fracture of vault of skull
Incl.:
Frontal bone
Parietal bone
S02.1 Fracture of base of skull
Incl.:
Fossa:
  • anterior
  • middle
  • posterior
Occiput
Orbital roof
Sinus:
  • ethmoid
  • frontal
Sphenoid
Temporal bone
Excl.:
orbit NOS (S02.8)
orbital floor (S02.3)
S02.2 Fracture of nasal bones
S02.3 Fracture of orbital floor
Excl.:
orbit NOS (S02.8)
orbital roof (S02.1)
S02.4 Fracture of malar and maxillary bones
Incl.:
Superior maxilla
Upper jaw (bone)
Zygoma
S02.5 Fracture of tooth
Incl.:
Broken tooth
S02.6 Fracture of mandible
Incl.:
Lower jaw (bone)
S02.7 Multiple fractures involving skull and facial bones
S02.8 Fractures of other skull and facial bones
Incl.:
Alveolus
Orbit NOS
Palate
Excl.:
orbital:
S02.9 Fracture of skull and facial bones, part unspecified

S03 Dislocation, sprain and strain of joints and ligaments of head

S03.0 Dislocation of jaw
Incl.:
Jaw (cartilage)(meniscus)
Mandible
Temporomandibular (joint)
S03.1 Dislocation of septal cartilage of nose
S03.2 Dislocation of tooth
S03.3 Dislocation of other and unspecified parts of head
S03.4 Sprain and strain of jaw
Incl.:
Temporomandibular (joint)(ligament)
S03.5 Sprain and strain of joints and ligaments of other and unspecified parts of head

S04 Injury of cranial nerves

S04.0 Injury of optic nerve and pathways
Incl.:
Optic chiasm
2nd cranial nerve
Visual cortex
S04.1 Injury of oculomotor nerve
Incl.:
3rd cranial nerve
S04.2 Injury of trochlear nerve
Incl.:
4th cranial nerve
S04.3 Injury of trigeminal nerve
Incl.:
5th cranial nerve
S04.4 Injury of abducent nerve
Incl.:
6th cranial nerve
S04.5 Injury of facial nerve
Incl.:
7th cranial nerve
S04.6 Injury of acoustic nerve
Incl.:
Auditory nerve
8th cranial nerve
S04.7 Injury of accessory nerve
Incl.:
11th cranial nerve
S04.8 Injury of other cranial nerves
Incl.:
Glossopharyngeal [9th] nerve
Hypoglossal [12th] nerve
Olfactory [1st] nerve
Vagus [10th] nerve
S04.9 Injury of unspecified cranial nerve

S05 Injury of eye and orbit

Excl.:
injury of:
  • oculomotor [3rd] nerve (S04.1)
  • optic [2nd] nerve (S04.0)
open wound of eyelid and periocular area (S01.1)
orbital bone fracture (S02.1, S02.3, S02.8)
superficial injury of eyelid (S00.1-S00.2)
S05.0 Injury of conjunctiva and corneal abrasion without mention of foreign body
Excl.:
foreign body in:
S05.1 Contusion of eyeball and orbital tissues
Incl.:
Traumatic hyphaema
Excl.:
black eye (S00.1)
contusion of eyelid and periocular area (S00.1)
S05.2 Ocular laceration and rupture with prolapse or loss of intraocular tissue
S05.3 Ocular laceration without prolapse or loss of intraocular tissue
Incl.:
Laceration of eye NOS
S05.4 Penetrating wound of orbit with or without foreign body
Excl.:
retained (old) foreign body following penetrating wound of orbit (H05.5)
S05.5 Penetrating wound of eyeball with foreign body
Excl.:
retained (old) intraocular foreign body (H44.6-H44.7)
S05.6 Penetrating wound of eyeball without foreign body
Incl.:
Ocular penetration NOS
S05.7 Avulsion of eye
Incl.:
Traumatic enucleation
S05.8 Other injuries of eye and orbit
Incl.:
Lacrimal duct injury
S05.9 Injury of eye and orbit, unspecified
Incl.:
Injury of eye NOS

S06 Intracranial injury

Note:

For primary coding of intracranial injuries with associated fractures, reference should be made to the morbidity or mortality coding rules and guidelines in Volume 2.

Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify intracranial injury and open wound:

Code Title
0
without open intracranial wound
1
with open intracranial wound
S06.0 Concussion
Incl.:
Commotio cerebri
S06.1 Traumatic cerebral oedema
S06.2 Diffuse brain injury
Incl.:
Cerebral:
  • contusion NOS
  • laceration NOS
Traumatic compression of brain NOS
S06.3 Focal brain injury
Incl.:
Focal:
  • cerebral:
    • contusion
    • laceration
  • traumatic intracerebral haemorrhage
S06.4 Epidural haemorrhage
Incl.:
Extradural haemorrhage (traumatic)
S06.5 Traumatic subdural haemorrhage
S06.6 Traumatic subarachnoid haemorrhage
S06.7 Intracranial injury with prolonged coma
S06.8 Other intracranial injuries
Incl.:
Traumatic haemorrhage:
  • cerebellar
  • intracranial NOS
S06.9 Intracranial injury, unspecified
Incl.:
Brain injury NOS
Excl.:
head injury NOS (S09.9)

S07 Crushing injury of head

S07.0 Crushing injury of face
S07.1 Crushing injury of skull
S07.8 Crushing injury of other parts of head
S07.9 Crushing injury of head, part unspecified

S08 Traumatic amputation of part of head

S08.0 Avulsion of scalp
S08.1 Traumatic amputation of ear
S08.8 Traumatic amputation of other parts of head
S08.9 Traumatic amputation of unspecified part of head
Excl.:
decapitation (S18)

S09 Other and unspecified injuries of head

S09.0 Injury of blood vessels of head, not elsewhere classified
Excl.:
injury of:
  • cerebral blood vessels (S06.-)
  • precerebral blood vessels (S15.-)
S09.1 Injury of muscle and tendon of head
S09.2 Traumatic rupture of ear drum
S09.7 Multiple injuries of head
Incl.:
Injuries classifiable to more than one of the categories S00-S09.2
S09.8 Other specified injuries of head
S09.9 Unspecified injury of head
Incl.:
Injury of:
  • face NOS
  • ear NOS
  • nose NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Injuries to the neck
(S10-S19)

Incl.:
injuries of:
  • nape
  • supraclavicular region
  • throat
Excl.:
burns and corrosions (T20-T32)
effects of foreign body in:
fracture of spine NOS (T08)
frostbite (T33-T35)
injury of:
insect bite or sting, venomous (T63.4)

S10 Superficial injury of neck

S10.0 Contusion of throat
Incl.:
Cervical oesophagus
Larynx
Pharynx
Trachea
S10.1 Other and unspecified superficial injuries of throat
S10.7 Multiple superficial injuries of neck
S10.8 Superficial injury of other parts of neck
S10.9 Superficial injury of neck, part unspecified

S11 Open wound of neck

Excl.:
decapitation (S18)
S11.0 Open wound involving larynx and trachea
Incl.:
Trachea:
  • NOS
  • cervical
Excl.:
thoracic trachea (S27.5)
S11.1 Open wound involving thyroid gland
S11.2 Open wound involving pharynx and cervical oesophagus
Excl.:
oesophagus NOS (S27.8)
S11.7 Multiple open wounds of neck
S11.8 Open wound of other parts of neck
S11.9 Open wound of neck, part unspecified

S12 Fracture of neck

Incl.:
cervical:
  • neural arch
  • spine
  • spinous process
  • transverse process
  • vertebra
  • vertebral arch
Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code Title
0
closed
1
open
S12.0 Fracture of first cervical vertebra
Incl.:
Atlas
S12.1 Fracture of second cervical vertebra
Incl.:
Axis
S12.2 Fracture of other specified cervical vertebra
Excl.:
multiple fractures of cervical spine (S12.7)
S12.7 Multiple fractures of cervical spine
S12.8 Fracture of other parts of neck
Incl.:
Hyoid bone
Larynx
Thyroid cartilage
Trachea
S12.9 Fracture of neck, part unspecified
Incl.:
Fracture of cervical:
  • spine NOS
  • vertebra NOS

S13 Dislocation, sprain and strain of joints and ligaments at neck level

Excl.:
rupture or displacement (nontraumatic) of cervical intervertebral disc (M50.-)
S13.0 Traumatic rupture of cervical intervertebral disc
S13.1 Dislocation of cervical vertebra
Incl.:
Cervical spine NOS
S13.2 Dislocation of other and unspecified parts of neck
S13.3 Multiple dislocations of neck
S13.4 Sprain and strain of cervical spine
Incl.:
Anterior longitudinal (ligament), cervical
Atlanto-axial (joints)
Atlanto-occipital (joints)
Whiplash injury
S13.5 Sprain and strain of thyroid region
Incl.:
Cricoarytenoid (joint)(ligament)
Cricothyroid (joint)(ligament)
Thyroid cartilage
S13.6 Sprain and strain of joints and ligaments of other and unspecified parts of neck

S14 Injury of nerves and spinal cord at neck level

S14.0 Concussion and oedema of cervical spinal cord
S14.1 Other and unspecified injuries of cervical spinal cord
Incl.:
Injury of cervical spinal cord NOS
S14.2 Injury of nerve root of cervical spine
S14.3 Injury of brachial plexus
S14.4 Injury of peripheral nerves of neck
S14.5 Injury of cervical sympathetic nerves
S14.6 Injury of other and unspecified nerves of neck

S15 Injury of blood vessels at neck level

S15.0 Injury of carotid artery
Incl.:
Carotid artery (common) (external) (internal)
S15.1 Injury of vertebral artery
S15.2 Injury of external jugular vein
S15.3 Injury of internal jugular vein
S15.7 Injury of multiple blood vessels at neck level
S15.8 Injury of other blood vessels at neck level
S15.9 Injury of unspecified blood vessel at neck level

S16 Injury of muscle and tendon at neck level

S17 Crushing injury of neck

S17.0 Crushing injury of larynx and trachea
S17.8 Crushing injury of other parts of neck
S17.9 Crushing injury of neck, part unspecified

S18 Traumatic amputation at neck level

Incl.:
Decapitation

S19 Other and unspecified injuries of neck

S19.7 Multiple injuries of neck
Incl.:
Injuries classifiable to more than one of the categories S10-S18
S19.8 Other specified injuries of neck
S19.9 Unspecified injury of neck

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Injuries to the thorax
(S20-S29)

Incl.:
injuries of:
  • breast
  • chest (wall)
  • interscapular area
Excl.:
burns and corrosions (T20-T32)
effects of foreign body in:
fracture of spine NOS (T08)
frostbite (T33-T35)
injuries of:
insect bite or sting, venomous (T63.4)

S20 Superficial injury of thorax

S20.0 Contusion of breast
S20.1 Other and unspecified superficial injuries of breast
S20.2 Contusion of thorax
S20.3 Other superficial injuries of front wall of thorax
S20.4 Other superficial injuries of back wall of thorax
S20.7 Multiple superficial injuries of thorax
S20.8 Superficial injury of other and unspecified parts of thorax
Incl.:
Thoracic wall NOS

S21 Open wound of thorax

Excl.:
traumatic:
S21.0 Open wound of breast
S21.1 Open wound of front wall of thorax
S21.2 Open wound of back wall of thorax
S21.7 Multiple open wounds of thoracic wall
S21.8 Open wound of other parts of thorax
S21.9 Open wound of thorax, part unspecified
Incl.:
Thoracic wall NOS

S22 Fracture of rib(s), sternum and thoracic spine

Incl.:
thoracic:
  • neural arch
  • spinous process
  • transverse process
  • vertebra
  • vertebral arch
Excl.:
fracture of:
Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code Title
0
closed
1
open
S22.0 Fracture of thoracic vertebra
Incl.:
Fracture of thoracic spine NOS
S22.1 Multiple fractures of thoracic spine
S22.2 Fracture of sternum
S22.3 Fracture of rib
S22.4 Multiple fractures of ribs
S22.5 Flail chest
S22.8 Fracture of other parts of bony thorax
S22.9 Fracture of bony thorax, part unspecified

S23 Dislocation, sprain and strain of joints and ligaments of thorax

Excl.:
dislocation, sprain and strain of sterno-clavicular joint (S43.2, S43.6)
rupture or displacement (nontraumatic) of thoracic intervertebral disc (M51.-)
S23.0 Traumatic rupture of thoracic intervertebral disc
S23.1 Dislocation of thoracic vertebra
Incl.:
Thoracic spine NOS
S23.2 Dislocation of other and unspecified parts of thorax
S23.3 Sprain and strain of thoracic spine
S23.4 Sprain and strain of ribs and sternum
S23.5 Sprain and strain of other and unspecified parts of thorax

S24 Injury of nerves and spinal cord at thorax level

Excl.:
injury of brachial plexus (S14.3)
S24.0 Concussion and oedema of thoracic spinal cord
S24.1 Other and unspecified injuries of thoracic spinal cord
S24.2 Injury of nerve root of thoracic spine
S24.3 Injury of peripheral nerves of thorax
S24.4 Injury of thoracic sympathetic nerves
Incl.:
Cardiac plexus
Oesophageal plexus
Pulmonary plexus
Stellate ganglion
Thoracic sympathetic ganglion
S24.5 Injury of other nerves of thorax
S24.6 Injury of unspecified nerve of thorax

S25 Injury of blood vessels of thorax

S25.0 Injury of thoracic aorta
Incl.:
Aorta NOS
S25.1 Injury of innominate or subclavian artery
S25.2 Injury of superior vena cava
Incl.:
Vena cava NOS
S25.3 Injury of innominate or subclavian vein
S25.4 Injury of pulmonary blood vessels
S25.5 Injury of intercostal blood vessels
S25.7 Injury of multiple blood vessels of thorax
S25.8 Injury of other blood vessels of thorax
Incl.:
Azygos vein
Mammary artery or vein
S25.9 Injury of unspecified blood vessel of thorax

S26 Injury of heart

Incl.:
  • contusion
  • laceration
  • puncture
  • traumatic rupture
  • of heart
Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding:

Code Title
0
without open wound into thoracic cavity
1
with open wound into thoracic cavity
S26.0 Injury of heart with haemopericardium
S26.8 Other injuries of heart
S26.9 Injury of heart, unspecified

S27 Injury of other and unspecified intrathoracic organs

Excl.:
injury of:
Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding:

Code Title
0
without open wound into thoracic cavity
1
with open wound into thoracic cavity
S27.0 Traumatic pneumothorax
S27.1 Traumatic haemothorax
S27.2 Traumatic haemopneumothorax
S27.3 Other injuries of lung
S27.4 Injury of bronchus
S27.5 Injury of thoracic trachea
S27.6 Injury of pleura
S27.7 Multiple injuries of intrathoracic organs
S27.8 Injury of other specified intrathoracic organs
Incl.:
Diaphragm
Lymphatic thoracic duct
Oesophagus (thoracic part)
Thymus gland
S27.9 Injury of unspecified intrathoracic organ

S28 Crushing injury of thorax and traumatic amputation of part of thorax

S28.0 Crushed chest
Excl.:
flail chest (S22.5)
S28.1 Traumatic amputation of part of thorax
Excl.:
transection of thorax (T05.8)

S29 Other and unspecified injuries of thorax

S29.0 Injury of muscle and tendon at thorax level
S29.7 Multiple injuries of thorax
Incl.:
Injuries classifiable to more than one of the categories S20-S29.0
S29.8 Other specified injuries of thorax
S29.9 Unspecified injury of thorax

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Injuries to the abdomen, lower back, lumbar spine and pelvis
(S30-S39)

Incl.:
abdominal wall
anus
buttock
external genitalia
flank
groin
Excl.:
burns and corrosions (T20-T32)
effects of foreign body in:
fracture of spine NOS (T08)
frostbite (T33-T35)
injuries of:
insect bite or sting, venomous (T63.4)

S30 Superficial injury of abdomen, lower back and pelvis

Excl.:
superficial injury of hip (S70.-)
S30.0 Contusion of lower back and pelvis
Incl.:
Buttock
S30.1 Contusion of abdominal wall
Incl.:
Flank
Groin
S30.2 Contusion of external genital organs
Incl.:
Labium (majus)(minus)
Penis
Perineum
Scrotum
Testis
Vagina
Vulva
S30.7 Multiple superficial injuries of abdomen, lower back and pelvis
S30.8 Other superficial injuries of abdomen, lower back and pelvis
S30.9 Superficial injury of abdomen, lower back and pelvis, part unspecified

S31 Open wound of abdomen, lower back and pelvis

Excl.:
open wound of hip (S71.0)
traumatic amputation of part of abdomen, lower back and pelvis (S38.2-S38.3)
S31.0 Open wound of lower back and pelvis
Incl.:
Buttock
S31.1 Open wound of abdominal wall
Incl.:
Flank
Groin
S31.2 Open wound of penis
S31.3 Open wound of scrotum and testes
S31.4 Open wound of vagina and vulva
S31.5 Open wound of other and unspecified external genital organs
Excl.:
traumatic amputation of external genital organs (S38.2)
S31.7 Multiple open wounds of abdomen, lower back and pelvis
S31.8 Open wound of other and unspecified parts of abdomen

S32 Fracture of lumbar spine and pelvis

Incl.:
lumbosacral:
  • neural arch
  • spinous process
  • transverse process
  • vertebra
  • vertebral arch
Excl.:
fracture of hip NOS (S72.0)
Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code Title
0
closed
1
open
S32.0 Fracture of lumbar vertebra
Incl.:
Fracture of lumbar spine
S32.1 Fracture of sacrum
S32.2 Fracture of coccyx
S32.3 Fracture of ilium
S32.4 Fracture of acetabulum
S32.5 Fracture of pubis
S32.7 Multiple fractures of lumbar spine and pelvis
S32.8 Fracture of other and unspecified parts of lumbar spine and pelvis
Incl.:
Fracture of:
  • ischium
  • lumbosacral spine NOS
  • pelvis NOS

S33 Dislocation, sprain and strain of joints and ligaments of lumbar spine and pelvis

Excl.:
dislocation, sprain and strain of joint and ligaments of hip (S73.-)
obstetric damage to pelvic joints and ligaments (O71.6)
rupture or displacement (nontraumatic) of lumbar intervertebral disc (M51.-)
S33.0 Traumatic rupture of lumbar intervertebral disc
S33.1 Dislocation of lumbar vertebra
Incl.:
Dislocation of lumbar spine NOS
S33.2 Dislocation of sacroiliac and sacrococcygeal joint
S33.3 Dislocation of other and unspecified parts of lumbar spine and pelvis
S33.4 Traumatic rupture of symphysis pubis
S33.5 Sprain and strain of lumbar spine
S33.6 Sprain and strain of sacroiliac joint
S33.7 Sprain and strain of other and unspecified parts of lumbar spine and pelvis

S34 Injury of nerves and lumbar spinal cord at abdomen, lower back and pelvis level

S34.0 Concussion and oedema of lumbar spinal cord
S34.1 Other injury of lumbar spinal cord
S34.2 Injury of nerve root of lumbar and sacral spine
S34.3 Injury of cauda equina
S34.4 Injury of lumbosacral plexus
S34.5 Injury of lumbar, sacral and pelvic sympathetic nerves
Incl.:
Coeliac ganglion or plexus
Hypogastric plexus
Mesenteric plexus (inferior)(superior)
Splanchnic nerve
S34.6 Injury of peripheral nerve(s) of abdomen, lower back and pelvis
S34.8 Injury of other and unspecified nerves at abdomen, lower back and pelvis level

S35 Injury of blood vessels at abdomen, lower back and pelvis level

S35.0 Injury of abdominal aorta
Excl.:
aorta NOS (S25.0)
S35.1 Injury of inferior vena cava
Incl.:
Hepatic vein
Excl.:
vena cava NOS (S25.2)
S35.2 Injury of coeliac or mesenteric artery
Incl.:
Gastric artery
Gastroduodenal artery
Hepatic artery
Mesenteric artery (inferior)(superior)
Splenic artery
S35.3 Injury of portal or splenic vein
Incl.:
Mesenteric vein (inferior)(superior)
S35.4 Injury of renal blood vessels
Incl.:
Renal artery or vein
S35.5 Injury of iliac blood vessels
Incl.:
Hypogastric artery or vein
Iliac artery or vein
Uterine artery or vein
S35.7 Injury of multiple blood vessels at abdomen, lower back and pelvis level
S35.8 Injury of other blood vessels at abdomen, lower back and pelvis level
Incl.:
Ovarian artery or vein
S35.9 Injury of unspecified blood vessel at abdomen, lower back and pelvis level

S36 Injury of intra-abdominal organs

Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding:

Code Title
0
without open wound into cavity
1
with open wound into cavity
S36.0 Injury of spleen
S36.1 Injury of liver or gallbladder
Incl.:
Bile duct
S36.2 Injury of pancreas
S36.3 Injury of stomach
S36.4 Injury of small intestine
S36.5 Injury of colon
S36.6 Injury of rectum
S36.7 Injury of multiple intra-abdominal organs
S36.8 Injury of other intra-abdominal organs
Incl.:
Peritoneum
Retroperitoneum
S36.9 Injury of unspecified intra-abdominal organ

S37 Injury of urinary and pelvic organs

Excl.:
peritoneum and retroperitoneum (S36.8)
Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding:

Code Title
0
without open wound into cavity
1
with open wound into cavity
S37.0 Injury of kidney
S37.1 Injury of ureter
S37.2 Injury of bladder
S37.3 Injury of urethra
S37.4 Injury of ovary
S37.5 Injury of fallopian tube
S37.6 Injury of uterus
S37.7 Injury of multiple pelvic organs
S37.8 Injury of other pelvic organs
Incl.:
Adrenal gland
Prostate
Seminal vesicle
Vas deferens
Excl.:
Open wound of other and unspecified external genital organs (S31.5)
S37.9 Injury of unspecified pelvic organ

S38 Crushing injury and traumatic amputation of part of abdomen, lower back and pelvis

S38.0 Crushing injury of external genital organs
S38.1 Crushing injury of other and unspecified parts of abdomen, lower back and pelvis
S38.2 Traumatic amputation of external genital organs
Incl.:
Labium (majus)(minus)
Penis
Scrotum
Testis
Vulva
S38.3 Traumatic amputation of other and unspecified parts of abdomen, lower back and pelvis
Excl.:
transection of abdomen (T05.8)

S39 Other and unspecified injuries of abdomen, lower back and pelvis

S39.0 Injury of muscle and tendon of abdomen, lower back and pelvis
S39.6 Injury of intra-abdominal organ(s) with pelvic organ(s)
S39.7 Other multiple injuries of abdomen, lower back and pelvis
Incl.:
Injuries classifiable to more than one of the categories S30-S39.6
Excl.:
injuries in S36.- with injuries in S37.- (S39.6)
S39.8 Other specified injuries of abdomen, lower back and pelvis
S39.9 Unspecified injury of abdomen, lower back and pelvis

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Injuries to the shoulder and upper arm
(S40-S49)

Incl.:
injuries of:
  • axilla
  • scapular region
Excl.:
bilateral involvement of shoulder and upper arm (T00-T07)
burns and corrosions (T20-T32)
frostbite (T33-T35)
injuries of:
insect bite or sting, venomous (T63.4)

S40 Superficial injury of shoulder and upper arm

S40.0 Contusion of shoulder and upper arm
S40.7 Multiple superficial injuries of shoulder and upper arm
S40.8 Other superficial injuries of shoulder and upper arm
S40.9 Superficial injury of shoulder and upper arm, unspecified

S41 Open wound of shoulder and upper arm

Excl.:
traumatic amputation of shoulder and upper arm (S48.-)
S41.0 Open wound of shoulder
S41.1 Open wound of upper arm
S41.7 Multiple open wounds of shoulder and upper arm
S41.8 Open wound of other and unspecified parts of shoulder girdle

S42 Fracture of shoulder and upper arm

Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code Title
0
closed
1
open
S42.0 Fracture of clavicle
Incl.:
Clavicle:
  • acromial end
  • shaft
Collar bone
S42.1 Fracture of scapula
Incl.:
Acromial process
Acromion (process)
Scapula (body)(glenoid cavity)(neck)
Shoulder blade
S42.2 Fracture of upper end of humerus
Incl.:
Anatomical neck
Great tuberosity
Proximal end
Surgical neck
Upper epiphysis
S42.3 Fracture of shaft of humerus
Incl.:
Humerus NOS
Upper arm NOS
S42.4 Fracture of lower end of humerus
Incl.:
Articular process
Distal end
External condyle
Intercondylar
Internal epicondyle
Lower epiphysis
Supracondylar
Excl.:
fracture of elbow NOS (S52.0)
S42.7 Multiple fractures of clavicle, scapula and humerus
S42.8 Fracture of other parts of shoulder and upper arm
S42.9 Fracture of shoulder girdle, part unspecified
Incl.:
Fracture of shoulder NOS

S43 Dislocation, sprain and strain of joints and ligaments of shoulder girdle

S43.0 Dislocation of shoulder joint
Incl.:
Glenohumeral joint
S43.1 Dislocation of acromioclavicular joint
S43.2 Dislocation of sternoclavicular joint
S43.3 Dislocation of other and unspecified parts of shoulder girdle
Incl.:
Dislocation of shoulder girdle NOS
S43.4 Sprain and strain of shoulder joint
Incl.:
Coracohumeral (ligament)
Rotator cuff capsule
S43.5 Sprain and strain of acromioclavicular joint
Incl.:
Acromioclavicular ligament
S43.6 Sprain and strain of sternoclavicular joint
S43.7 Sprain and strain of other and unspecified parts of shoulder girdle
Incl.:
Sprain and strain of shoulder girdle NOS

S44 Injury of nerves at shoulder and upper arm level

Excl.:
injury of brachial plexus (S14.3)
S44.0 Injury of ulnar nerve at upper arm level
Excl.:
ulnar nerve NOS (S54.0)
S44.1 Injury of median nerve at upper arm level
Excl.:
median nerve NOS (S54.1)
S44.2 Injury of radial nerve at upper arm level
Excl.:
radial nerve NOS (S54.2)
S44.3 Injury of axillary nerve
S44.4 Injury of musculocutaneous nerve
S44.5 Injury of cutaneous sensory nerve at shoulder and upper arm level
S44.7 Injury of multiple nerves at shoulder and upper arm level
S44.8 Injury of other nerves at shoulder and upper arm level
S44.9 Injury of unspecified nerve at shoulder and upper arm level

S45 Injury of blood vessels at shoulder and upper arm level

Excl.:
injury of subclavian:
S45.0 Injury of axillary artery
S45.1 Injury of brachial artery
S45.2 Injury of axillary or brachial vein
S45.3 Injury of superficial vein at shoulder and upper arm level
S45.7 Injury of multiple blood vessels at shoulder and upper arm level
S45.8 Injury of other blood vessels at shoulder and upper arm level
S45.9 Injury of unspecified blood vessel at shoulder and upper arm level

S46 Injury of muscle and tendon at shoulder and upper arm level

Excl.:
injury of muscle and tendon at or below elbow (S56.-)
S46.0 Injury of muscle(s) and tendon(s) of the rotator cuff of shoulder
S46.1 Injury of muscle and tendon of long head of biceps
S46.2 Injury of muscle and tendon of other parts of biceps
S46.3 Injury of muscle and tendon of triceps
S46.7 Injury of multiple muscles and tendons at shoulder and upper arm level
S46.8 Injury of other muscles and tendons at shoulder and upper arm level
S46.9 Injury of unspecified muscle and tendon at shoulder and upper arm level

S47 Crushing injury of shoulder and upper arm

Excl.:
crushing injury of elbow (S57.0)

S48 Traumatic amputation of shoulder and upper arm

Excl.:
traumatic amputation:
  • at elbow level (S58.0)
  • of arm, level unspecified (T11.6)
S48.0 Traumatic amputation at shoulder joint
S48.1 Traumatic amputation at level between shoulder and elbow
S48.9 Traumatic amputation of shoulder and upper arm, level unspecified

S49 Other and unspecified injuries of shoulder and upper arm

S49.7 Multiple injuries of shoulder and upper arm
Incl.:
Injuries classifiable to more than one of the categories S40-S48
S49.8 Other specified injuries of shoulder and upper arm
S49.9 Unspecified injury of shoulder and upper arm

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Injuries to the elbow and forearm
(S50-S59)

Excl.:
bilateral involvement of elbow and forearm (T00-T07)
burns and corrosions (T20-T32)
frostbite (T33-T35)
injuries of:
insect bite or sting, venomous (T63.4)

S50 Superficial injury of forearm

Excl.:
superficial injury of wrist and hand (S60.-)
S50.0 Contusion of elbow
S50.1 Contusion of other and unspecified parts of forearm
S50.7 Multiple superficial injuries of forearm
S50.8 Other superficial injuries of forearm
S50.9 Superficial injury of forearm, unspecified
Incl.:
Superficial injury of elbow NOS

S51 Open wound of forearm

Excl.:
open wound of wrist and hand (S61.-)
traumatic amputation of forearm (S58.-)
S51.0 Open wound of elbow
S51.7 Multiple open wounds of forearm
S51.8 Open wound of other parts of forearm
S51.9 Open wound of forearm, part unspecified

S52 Fracture of forearm

Excl.:
fracture at wrist and hand level (S62.-)
Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code Title
0
closed
1
open
S52.0 Fracture of upper end of ulna
Incl.:
Coronoid process
Elbow NOS
Monteggia fracture-dislocation
Olecranon process
Proximal end
S52.1 Fracture of upper end of radius
Incl.:
Head
Neck
Proximal end
S52.2 Fracture of shaft of ulna
S52.3 Fracture of shaft of radius
S52.4 Fracture of shafts of both ulna and radius
S52.5 Fracture of lower end of radius
Incl.:
Colles fracture
Smith fracture
S52.6 Fracture of lower end of both ulna and radius
S52.7 Multiple fractures of forearm
Excl.:
fractures of both ulna and radius:
S52.8 Fracture of other parts of forearm
Incl.:
Lower end of ulna
Head of ulna
S52.9 Fracture of forearm, part unspecified

S53 Dislocation, sprain and strain of joints and ligaments of elbow

S53.0 Dislocation of radial head
Incl.:
Radiohumeral joint
Excl.:
Monteggia fracture-dislocation (S52.0)
S53.1 Dislocation of elbow, unspecified
Incl.:
Ulnohumeral joint
Excl.:
dislocation of radial head alone (S53.0)
S53.2 Traumatic rupture of radial collateral ligament
S53.3 Traumatic rupture of ulnar collateral ligament
S53.4 Sprain and strain of elbow

S54 Injury of nerves at forearm level

Excl.:
injury of nerves at wrist and hand level (S64.-)
S54.0 Injury of ulnar nerve at forearm level
Incl.:
Ulnar nerve NOS
S54.1 Injury of median nerve at forearm level
Incl.:
Median nerve NOS
S54.2 Injury of radial nerve at forearm level
Incl.:
Radial nerve NOS
S54.3 Injury of cutaneous sensory nerve at forearm level
S54.7 Injury of multiple nerves at forearm level
S54.8 Injury of other nerves at forearm level
S54.9 Injury of unspecified nerve at forearm level

S55 Injury of blood vessels at forearm level

Excl.:
injury of:
S55.0 Injury of ulnar artery at forearm level
S55.1 Injury of radial artery at forearm level
S55.2 Injury of vein at forearm level
S55.7 Injury of multiple blood vessels at forearm level
S55.8 Injury of other blood vessels at forearm level
S55.9 Injury of unspecified blood vessel at forearm level

S56 Injury of muscle and tendon at forearm level

Excl.:
injury of muscle and tendon at or below wrist (S66.-)
S56.0 Injury of flexor muscle and tendon of thumb at forearm level
S56.1 Injury of long flexor muscle and tendon of other finger(s) at forearm level
S56.2 Injury of other flexor muscle and tendon at forearm level
S56.3 Injury of extensor or abductor muscles and tendons of thumb at forearm level
S56.4 Injury of extensor muscle and tendon of other finger(s) at forearm level
S56.5 Injury of other extensor muscle and tendon at forearm level
S56.7 Injury of multiple muscles and tendons at forearm level
S56.8 Injury of other and unspecified muscles and tendons at forearm level

S57 Crushing injury of forearm

Excl.:
crushing injury of wrist and hand (S67.-)
S57.0 Crushing injury of elbow
S57.8 Crushing injury of other parts of forearm
S57.9 Crushing injury of forearm, part unspecified

S58 Traumatic amputation of forearm

Excl.:
traumatic amputation of wrist and hand (S68.-)
S58.0 Traumatic amputation at elbow level
S58.1 Traumatic amputation at level between elbow and wrist
S58.9 Traumatic amputation of forearm, level unspecified

S59 Other and unspecified injuries of forearm

Excl.:
other and unspecified injuries of wrist and hand (S69.-)
S59.7 Multiple injuries of forearm
Incl.:
Injuries classifiable to more than one of the categories S50-S58
S59.8 Other specified injuries of forearm
S59.9 Unspecified injury of forearm

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Injuries to the wrist and hand
(S60-S69)

Excl.:
bilateral involvement of wrist and hand (T00-T07)
burns and corrosions (T20-T32)
frostbite (T33-T35)
injuries of arm, level unspecified (T10-T11)
insect bite or sting, venomous (T63.4)

S60 Superficial injury of wrist and hand

S60.0 Contusion of finger(s) without damage to nail
Incl.:
Contusion of finger(s) NOS
Excl.:
contusion involving nail (matrix) (S60.1)
S60.1 Contusion of finger(s) with damage to nail
S60.2 Contusion of other parts of wrist and hand
S60.7 Multiple superficial injuries of wrist and hand
S60.8 Other superficial injuries of wrist and hand
S60.9 Superficial injury of wrist and hand, unspecified

S61 Open wound of wrist and hand

Excl.:
traumatic amputation of wrist and hand (S68.-)
S61.0 Open wound of finger(s) without damage to nail
Incl.:
Open wound of finger(s) NOS
Excl.:
open wound involving nail (matrix) (S61.1)
S61.1 Open wound of finger(s) with damage to nail
S61.7 Multiple open wounds of wrist and hand
S61.8 Open wound of other parts of wrist and hand
S61.9 Open wound of wrist and hand, part unspecified

S62 Fracture at wrist and hand level

Excl.:
fracture of distal parts of ulna and radius (S52.-)
Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code Title
0
closed
1
open
S62.0 Fracture of navicular [scaphoid] bone of hand
S62.1 Fracture of other carpal bone(s)
Incl.:
Capitate [os magnum]
Hamate [unciform]
Lunate [semilunar]
Pisiform
Trapezium [greater multangular]
Trapezoid [lesser multangular]
Triquetrum [cuneiform of carpus]
S62.2 Fracture of first metacarpal bone
Incl.:
Bennett fracture
S62.3 Fracture of other metacarpal bone
S62.4 Multiple fractures of metacarpal bones
S62.5 Fracture of thumb
S62.6 Fracture of other finger
S62.7 Multiple fractures of fingers
S62.8 Fracture of other and unspecified parts of wrist and hand

S63 Dislocation, sprain and strain of joints and ligaments at wrist and hand level

S63.0 Dislocation of wrist
Incl.:
Carpal (bone)
Carpometacarpal (joint)
Metacarpal (bone), proximal end
Midcarpal (joint)
Radiocarpal (joint)
Radioulnar (joint), distal
Radius, distal end
Ulna, distal end
S63.1 Dislocation of finger
Incl.:
Interphalangeal (joint), hand
Metacarpal (bone), distal end
Metacarpophalangeal (joint)
Phalanx, hand
Thumb
S63.2 Multiple dislocations of fingers
S63.3 Traumatic rupture of ligament of wrist and carpus
Incl.:
Collateral, wrist
Radiocarpal (ligament)
Ulnocarpal (palmar)
S63.4 Traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s)
Incl.:
Collateral
Palmar
Volar plate
S63.5 Sprain and strain of wrist
Incl.:
Carpal (joint)
Radiocarpal (joint) (ligament)
S63.6 Sprain and strain of finger(s)
Incl.:
Interphalangeal (joint), hand
Metacarpophalangeal (joint)
Phalanx, hand
Thumb
S63.7 Sprain and strain of other and unspecified parts of hand

S64 Injury of nerves at wrist and hand level

S64.0 Injury of ulnar nerve at wrist and hand level
S64.1 Injury of median nerve at wrist and hand level
S64.2 Injury of radial nerve at wrist and hand level
S64.3 Injury of digital nerve of thumb
S64.4 Injury of digital nerve of other finger
S64.7 Injury of multiple nerves at wrist and hand level
S64.8 Injury of other nerves at wrist and hand level
S64.9 Injury of unspecified nerve at wrist and hand level

S65 Injury of blood vessels at wrist and hand level

S65.0 Injury of ulnar artery at wrist and hand level
S65.1 Injury of radial artery at wrist and hand level
S65.2 Injury of superficial palmar arch
S65.3 Injury of deep palmar arch
S65.4 Injury of blood vessel(s) of thumb
S65.5 Injury of blood vessel(s) of other finger
S65.7 Injury of multiple blood vessels at wrist and hand level
S65.8 Injury of other blood vessels at wrist and hand level
S65.9 Injury of unspecified blood vessel at wrist and hand level

S66 Injury of muscle and tendon at wrist and hand level

S66.0 Injury of long flexor muscle and tendon of thumb at wrist and hand level
S66.1 Injury of flexor muscle and tendon of other finger at wrist and hand level
S66.2 Injury of extensor muscle and tendon of thumb at wrist and hand level
S66.3 Injury of extensor muscle and tendon of other finger at wrist and hand level
S66.4 Injury of intrinsic muscle and tendon of thumb at wrist and hand level
S66.5 Injury of intrinsic muscle and tendon of other finger at wrist and hand level
S66.6 Injury of multiple flexor muscles and tendons at wrist and hand level
S66.7 Injury of multiple extensor muscles and tendons at wrist and hand level
S66.8 Injury of other muscles and tendons at wrist and hand level
S66.9 Injury of unspecified muscle and tendon at wrist and hand level

S67 Crushing injury of wrist and hand

S67.0 Crushing injury of thumb and other finger(s)
S67.8 Crushing injury of other and unspecified parts of wrist and hand

S68 Traumatic amputation of wrist and hand

S68.0 Traumatic amputation of thumb (complete)(partial)
S68.1 Traumatic amputation of other single finger (complete)(partial)
S68.2 Traumatic amputation of two or more fingers alone (complete)(partial)
S68.3 Combined traumatic amputation of (part of) finger(s) with other parts of wrist and hand
S68.4 Traumatic amputation of hand at wrist level
S68.8 Traumatic amputation of other parts of wrist and hand
S68.9 Traumatic amputation of wrist and hand, level unspecified

S69 Other and unspecified injuries of wrist and hand

S69.7 Multiple injuries of wrist and hand
Incl.:
Injuries classifiable to more than one of the categories S60-S68
S69.8 Other specified injuries of wrist and hand
S69.9 Unspecified injury of wrist and hand

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Injuries to the hip and thigh
(S70-S79)

Excl.:
bilateral involvement of hip and thigh (T00-T07)
burns and corrosions (T20-T32)
frostbite (T33-T35)
injuries of leg, level unspecified (T12-T13)
insect bite or sting, venomous (T63.4)

S70 Superficial injury of hip and thigh

S70.0 Contusion of hip
S70.1 Contusion of thigh
S70.7 Multiple superficial injuries of hip and thigh
S70.8 Other superficial injuries of hip and thigh
S70.9 Superficial injury of hip and thigh, unspecified

S71 Open wound of hip and thigh

Excl.:
traumatic amputation of hip and thigh (S78.-)
S71.0 Open wound of hip
S71.1 Open wound of thigh
S71.7 Multiple open wounds of hip and thigh
S71.8 Open wound of other and unspecified parts of pelvic girdle

S72 Fracture of femur

Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code Title
0
closed
1
open
S72.0 Fracture of neck of femur
Incl.:
Fracture of hip NOS
S72.1 Pertrochanteric fracture
Incl.:
Intertrochanteric fracture
Trochanteric fracture
S72.2 Subtrochanteric fracture
S72.3 Fracture of shaft of femur
S72.4 Fracture of lower end of femur
S72.7 Multiple fractures of femur
S72.8 Fractures of other parts of femur
S72.9 Fracture of femur, part unspecified

S73 Dislocation, sprain and strain of joint and ligaments of hip

S73.0 Dislocation of hip
S73.1 Sprain and strain of hip

S74 Injury of nerves at hip and thigh level

S74.0 Injury of sciatic nerve at hip and thigh level
S74.1 Injury of femoral nerve at hip and thigh level
S74.2 Injury of cutaneous sensory nerve at hip and thigh level
S74.7 Injury of multiple nerves at hip and thigh level
S74.8 Injury of other nerves at hip and thigh level
S74.9 Injury of unspecified nerve at hip and thigh level

S75 Injury of blood vessels at hip and thigh level

Excl.:
popliteal artery (S85.0)
S75.0 Injury of femoral artery
S75.1 Injury of femoral vein at hip and thigh level
S75.2 Injury of greater saphenous vein at hip and thigh level
Excl.:
greater saphenous vein NOS (S85.3)
S75.7 Injury of multiple blood vessels at hip and thigh level
S75.8 Injury of other blood vessels at hip and thigh level
S75.9 Injury of unspecified blood vessel at hip and thigh level

S76 Injury of muscle and tendon at hip and thigh level

S76.0 Injury of muscle and tendon of hip
S76.1 Injury of quadriceps muscle and tendon
Incl.:
Patellar ligament (tendon)
S76.2 Injury of adductor muscle and tendon of thigh
S76.3 Injury of muscle and tendon of the posterior muscle group at thigh level
S76.4 Injury of other and unspecified muscles and tendons at thigh level
S76.7 Injury of multiple muscles and tendons at hip and thigh level

S77 Crushing injury of hip and thigh

S77.0 Crushing injury of hip
S77.1 Crushing injury of thigh
S77.2 Crushing injury of hip with thigh

S78 Traumatic amputation of hip and thigh

Excl.:
traumatic amputation of lower limb, level unspecified (T13.6)
S78.0 Traumatic amputation at hip joint
S78.1 Traumatic amputation at level between hip and knee
S78.9 Traumatic amputation of hip and thigh, level unspecified

S79 Other and unspecified injuries of hip and thigh

S79.7 Multiple injuries of hip and thigh
Incl.:
Injuries classifiable to more than one of the categories S70-S78
S79.8 Other specified injuries of hip and thigh
S79.9 Unspecified injury of hip and thigh

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Injuries to the knee and lower leg
(S80-S89)

Incl.:
fracture of ankle and malleolus
Excl.:
bilateral involvement of knee and lower leg (T00-T07)
burns and corrosions (T20-T32)
frostbite (T33-T35)
injuries of:
  • ankle and foot, except fracture of ankle and malleolus (S90-S99)
  • leg, level unspecified (T12-T13)
insect bite or sting, venomous (T63.4)

S80 Superficial injury of lower leg

Excl.:
superficial injury of ankle and foot (S90.-)
S80.0 Contusion of knee
S80.1 Contusion of other and unspecified parts of lower leg
S80.7 Multiple superficial injuries of lower leg
S80.8 Other superficial injuries of lower leg
S80.9 Superficial injury of lower leg, unspecified

S81 Open wound of lower leg

Excl.:
open wound of ankle and foot (S91.-)
traumatic amputation of lower leg (S88.-)
S81.0 Open wound of knee
S81.7 Multiple open wounds of lower leg
S81.8 Open wound of other parts of lower leg
S81.9 Open wound of lower leg, part unspecified

S82 Fracture of lower leg, including ankle

Incl.:
malleolus
Excl.:
fracture of foot, except ankle (S92.-)
Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code Title
0
closed
1
open
S82.0 Fracture of patella
Incl.:
Knee cap
S82.1 Fracture of upper end of tibia
Incl.:
  • Tibial:
    • condyles
    • head
    • plateau
    • proximal end
    • tuberosity
  • with or without mention of fracture of fibula
S82.2 Fracture of shaft of tibia
Incl.:
With or without mention of fracture of fibula
S82.3 Fracture of lower end of tibia
Incl.:
With or without mention of fracture of fibula
Excl.:
medial malleolus (S82.5)
S82.4 Fracture of fibula alone
Excl.:
lateral malleolus (S82.6)
S82.5 Fracture of medial malleolus
Incl.:
Tibia involving:
  • ankle
  • malleolus
S82.6 Fracture of lateral malleolus
Incl.:
Fibula involving:
  • ankle
  • malleolus
S82.7 Multiple fractures of lower leg
Excl.:
fractures of both tibia and fibula:
S82.8 Fractures of other parts of lower leg
Incl.:
Fracture (of):
  • ankle NOS
  • bimalleolar
  • trimalleolar
S82.9 Fracture of lower leg, part unspecified

S83 Dislocation, sprain and strain of joints and ligaments of knee

Excl.:
derangement of:
dislocation of knee:
S83.0 Dislocation of patella
S83.1 Dislocation of knee
Incl.:
Tibiofibular (joint)
S83.2 Tear of meniscus, current
Incl.:
Bucket-handle tear (of):
  • NOS
  • lateral meniscus
  • medial meniscus
Excl.:
old bucket-handle tear (M23.2)
S83.3 Tear of articular cartilage of knee, current
S83.4 Sprain and strain involving (fibular)(tibial) collateral ligament of knee
S83.5 Sprain and strain involving (anterior)(posterior) cruciate ligament of knee
S83.6 Sprain and strain of other and unspecified parts of knee
Incl.:
Tibiofibular joint and ligament, superior
Excl.:
sprain of patellar ligament (S76.1)
S83.7 Injury to multiple structures of knee
Incl.:
Injury to (lateral)(medial) meniscus in combination with (collateral)(cruciate) ligaments

S84 Injury of nerves at lower leg level

Excl.:
injury of nerves at ankle and foot level (S94.-)
S84.0 Injury of tibial nerve at lower leg level
S84.1 Injury of peroneal nerve at lower leg level
S84.2 Injury of cutaneous sensory nerve at lower leg level
S84.7 Injury of multiple nerves at lower leg level
S84.8 Injury of other nerves at lower leg level
S84.9 Injury of unspecified nerve at lower leg level

S85 Injury of blood vessels at lower leg level

Excl.:
injury of blood vessels at ankle and foot level (S95.-)
S85.0 Injury of popliteal artery
S85.1 Injury of (anterior)(posterior) tibial artery
S85.2 Injury of peroneal artery
S85.3 Injury of greater saphenous vein at lower leg level
Incl.:
Greater saphenous vein NOS
S85.4 Injury of lesser saphenous vein at lower leg level
S85.5 Injury of popliteal vein
S85.7 Injury of multiple blood vessels at lower leg level
S85.8 Injury of other blood vessels at lower leg level
S85.9 Injury of unspecified blood vessel at lower leg level

S86 Injury of muscle and tendon at lower leg level

Excl.:
injury of:
  • muscle and tendon at or below ankle (S96.-)
  • patellar ligament (tendon) (S76.1)
S86.0 Injury of Achilles tendon
S86.1 Injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level
S86.2 Injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level
S86.3 Injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level
S86.7 Injury of multiple muscles and tendons at lower leg level
S86.8 Injury of other muscles and tendons at lower leg level
S86.9 Injury of unspecified muscle and tendon at lower leg level

S87 Crushing injury of lower leg

Excl.:
crushing injury of ankle and foot (S97.-)
S87.0 Crushing injury of knee
S87.8 Crushing injury of other and unspecified parts of lower leg

S88 Traumatic amputation of lower leg

Excl.:
traumatic amputation of:
  • ankle and foot (S98.-)
  • leg, level unspecified (T13.6)
S88.0 Traumatic amputation at knee level
S88.1 Traumatic amputation at level between knee and ankle
S88.9 Traumatic amputation of lower leg, level unspecified

S89 Other and unspecified injuries of lower leg

Excl.:
other and unspecified injuries of ankle and foot (S99.-)
S89.7 Multiple injuries of lower leg
Incl.:
Injuries classifiable to more than one of the categories S80-S88
S89.8 Other specified injuries of lower leg
S89.9 Unspecified injury of lower leg

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Injuries to the ankle and foot
(S90-S99)

Excl.:
bilateral involvement of ankle and foot (T00-T07)
burns and corrosions (T20-T32)
fracture of ankle and malleolus (S82.-)
frostbite (T33-T35)
injuries of leg, level unspecified (T12-T13)
insect bite or sting, venomous (T63.4)

S90 Superficial injury of ankle and foot

S90.0 Contusion of ankle
S90.1 Contusion of toe(s) without damage to nail
Incl.:
Contusion of toe(s) NOS
S90.2 Contusion of toe(s) with damage to nail
S90.3 Contusion of other and unspecified parts of foot
S90.7 Multiple superficial injuries of ankle and foot
S90.8 Other superficial injuries of ankle and foot
S90.9 Superficial injury of ankle and foot, unspecified

S91 Open wound of ankle and foot

Excl.:
traumatic amputation of ankle and foot (S98.-)
S91.0 Open wound of ankle
S91.1 Open wound of toe(s) without damage to nail
Incl.:
Open wound of toe(s) NOS
S91.2 Open wound of toe(s) with damage to nail
S91.3 Open wound of other parts of foot
Incl.:
Open wound of foot NOS
S91.7 Multiple open wounds of ankle and foot

S92 Fracture of foot, except ankle

Excl.:
ankle (S82.-)
malleolus (S82.-)
Modifiers

The followig subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code Title
0
closed
1
open
S92.0 Fracture of calcaneus
Incl.:
Heel bone
Os calcis
S92.1 Fracture of talus
Incl.:
Astragalus
S92.2 Fracture of other tarsal bone(s)
Incl.:
Cuboid
Cuneiform, foot (intermediate)(lateral)(medial)
Navicular, foot
S92.3 Fracture of metatarsal bone
S92.4 Fracture of great toe
S92.5 Fracture of other toe
S92.7 Multiple fractures of foot
S92.9 Fracture of foot, unspecified

S93 Dislocation, sprain and strain of joints and ligaments at ankle and foot level

S93.0 Dislocation of ankle joint
Incl.:
Astragalus
Fibula, lower end
Talus
Tibia, lower end
S93.1 Dislocation of toe(s)
Incl.:
Interphalangeal (joint(s))
Metatarsophalangeal (joint(s))
S93.2 Rupture of ligaments at ankle and foot level
S93.3 Dislocation of other and unspecified parts of foot
Incl.:
Navicular, foot
Tarsal (joint(s))
Tarsometatarsal (joint(s))
S93.4 Sprain and strain of ankle
Incl.:
Calcaneofibular (ligament)
Deltoid (ligament)
Internal collateral (ligament)
Talofibular (ligament)
Tibiofibular (ligament), distal
Excl.:
injury of Achilles tendon (S86.0)
S93.5 Sprain and strain of toe(s)
Incl.:
Interphalangeal (joint(s))
Metatarsophalangeal (joint(s))
S93.6 Sprain and strain of other and unspecified parts of foot
Incl.:
Tarsal (ligament)
Tarsometatarsal (ligament)

S94 Injury of nerves at ankle and foot level

S94.0 Injury of lateral plantar nerve
S94.1 Injury of medial plantar nerve
S94.2 Injury of deep peroneal nerve at ankle and foot level
Incl.:
Terminal, lateral branch of deep peroneal nerve
S94.3 Injury of cutaneous sensory nerve at ankle and foot level
S94.7 Injury of multiple nerves at ankle and foot level
S94.8 Injury of other nerves at ankle and foot level
S94.9 Injury of unspecified nerve at ankle and foot level

S95 Injury of blood vessels at ankle and foot level

Excl.:
injury of posterior tibial artery and vein (S85.-)
S95.0 Injury of dorsal artery of foot
S95.1 Injury of plantar artery of foot
S95.2 Injury of dorsal vein of foot
S95.7 Injury of multiple blood vessels at ankle and foot level
S95.8 Injury of other blood vessels at ankle and foot level
S95.9 Injury of unspecified blood vessel at ankle and foot level

S96 Injury of muscle and tendon at ankle and foot level

Excl.:
injury of Achilles tendon (S86.0)
S96.0 Injury of muscle and tendon of long flexor muscle of toe at ankle and foot level
S96.1 Injury of muscle and tendon of long extensor muscle of toe at ankle and foot level
S96.2 Injury of intrinsic muscle and tendon at ankle and foot level
S96.7 Injury of multiple muscles and tendons at ankle and foot level
S96.8 Injury of other muscles and tendons at ankle and foot level
S96.9 Injury of unspecified muscle and tendon at ankle and foot level

S97 Crushing injury of ankle and foot

S97.0 Crushing injury of ankle
S97.1 Crushing injury of toe(s)
S97.8 Crushing injury of other parts of ankle and foot
Incl.:
Crushing injury of foot NOS

S98 Traumatic amputation of ankle and foot

S98.0 Traumatic amputation of foot at ankle level
S98.1 Traumatic amputation of one toe
S98.2 Traumatic amputation of two or more toes
S98.3 Traumatic amputation of other parts of foot
Incl.:
Combined traumatic amputation of toe(s) and other parts of foot
S98.4 Traumatic amputation of foot, level unspecified

S99 Other and unspecified injuries of ankle and foot

S99.7 Multiple injuries of ankle and foot
Incl.:
Injuries classifiable to more than one of the categories S90-S98
S99.8 Other specified injuries of ankle and foot
S99.9 Unspecified injury of ankle and foot

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Injuries involving multiple body regions
(T00-T07)

Incl.:
bilateral involvement of limbs of the same body region
Injuries by type involving two or more body regions classifiable within S00-S99
Excl.:
burns and corrosions (T20-T32)
frostbite (T33-T35)
insect bite or sting, venomous (T63.4)
multiple injuries involving only one body region - see S-section
sunburn (L55.-)

T00 Superficial injuries involving multiple body regions

T00.0 Superficial injuries involving head with neck
Incl.:
Superficial injuries of sites classifiable to S00.- and S10.-
Excl.:
with involvement of other body region(s) (T00.8)
T00.1 Superficial injuries involving thorax with abdomen, lower back and pelvis
Incl.:
Superficial injuries of sites classifiable to S20.-, S30.- and T09.0
Excl.:
with involvement of other body region(s) (T00.8)
T00.2 Superficial injuries involving multiple regions of upper limb(s)
Incl.:
Superficial injuries of sites classifiable to S40.-, S50.-, S60.- and T11.0
Excl.:
with involvement of:
  • lower limb(s) (T00.6)
  • thorax, abdomen, lower back and pelvis (T00.8)
T00.3 Superficial injuries involving multiple regions of lower limb(s)
Incl.:
Superficial injuries of sites classifiable to S70.-, S80.-, S90.- and T13.0
Excl.:
with involvement of:
  • thorax, abdomen, lower back and pelvis (T00.8)
  • upper limb(s) (T00.6)
T00.6 Superficial injuries involving multiple regions of upper limb(s) with lower limb(s)
Incl.:
Superficial injuries of sites classifiable to T00.2 and T00.3
Excl.:
with involvement of thorax, abdomen, lower back and pelvis (T00.8)
T00.8 Superficial injuries involving other combinations of body regions
T00.9 Multiple superficial injuries, unspecified
Incl.:
  • Multiple:
    • abrasions
    • blisters (nonthermal)
    • bruises
    • contusions
    • haematomas
    • insect bites (nonvenomous)
  • NOS

T01 Open wounds involving multiple body regions

Excl.:
traumatic amputations involving multiple body regions (T05.-)
T01.0 Open wounds involving head with neck
Incl.:
Open wounds of sites classifiable to S01.- and S11.-
Excl.:
with involvement of other body region(s) (T01.8)
T01.1 Open wounds involving thorax with abdomen, lower back and pelvis
Incl.:
Open wounds of sites classifiable to S21.-, S31.- and T09.1
Excl.:
with involvement of other body region(s) (T01.8)
T01.2 Open wounds involving multiple regions of upper limb(s)
Incl.:
Open wounds of sites classifiable to S41.-, S51.-, S61.- and T11.1
Excl.:
with involvement of:
  • lower limb(s) (T01.6)
  • thorax, abdomen, lower back and pelvis (T01.8)
T01.3 Open wounds involving multiple regions of lower limb(s)
Incl.:
Open wounds of sites classifiable to S71.-, S81.-, S91.- and T13.1
Excl.:
with involvement of:
  • thorax, abdomen, lower back and pelvis (T01.8)
  • upper limb(s) (T01.6)
T01.6 Open wounds involving multiple regions of upper limb(s) with lower limb(s)
Incl.:
Open wounds of sites classifiable to T01.2 and T01.3
Excl.:
with involvement of thorax, abdomen, lower back and pelvis (T01.8)
T01.8 Open wounds involving other combinations of body regions
T01.9 Multiple open wounds, unspecified
Incl.:
  • Multiple:
    • animal bites
    • cuts
    • lacerations
    • puncture wounds
  • NOS

T02 Fractures involving multiple body regions

Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code Title
0
closed
1
open
T02.0 Fractures involving head with neck
Incl.:
Fractures of sites classifiable to S02.- and S12.-
Excl.:
with involvement of other body region(s) (T02.8)
T02.1 Fractures involving thorax with lower back and pelvis
Incl.:
Fractures of sites classifiable to S22.-, S32.- and T08
Excl.:
when combined with fractures of:
T02.2 Fractures involving multiple regions of one upper limb
Incl.:
Fractures of sites classifiable to S42.-, S52.-, S62.- and T10 of one upper limb
Excl.:
when combined with fractures of:
  • lower limb(s) (T02.6)
  • other upper limb (T02.4)
  • thorax, lower back and pelvis (T02.7)
T02.3 Fractures involving multiple regions of one lower limb
Incl.:
Fractures of sites classifiable to S72.-, S82.-, S92.- and T12 of one lower limb
Excl.:
when combined with fractures of:
  • other lower limb (T02.5)
  • thorax, lower back and pelvis (T02.7)
  • upper limb(s) (T02.6)
T02.4 Fractures involving multiple regions of both upper limbs
Incl.:
Fractures of sites classifiable to S42.-, S52.-, S62.- and T10 specified as bilateral
Excl.:
when combined with fractures of:
  • lower limb(s) (T02.6)
  • thorax, lower back and pelvis (T02.7)
T02.5 Fractures involving multiple regions of both lower limbs
Incl.:
Fractures of sites classifiable to S72.-, S82.-, S92.- and T12 specified as bilateral
Excl.:
when combined with fractures of:
  • thorax, lower back and pelvis (T02.7)
  • upper limb(s) (T02.6)
T02.6 Fractures involving multiple regions of upper limb(s) with lower limb(s)
Excl.:
when combined with fractures of thorax, lower back and pelvis (T02.7)
T02.7 Fractures involving thorax with lower back and pelvis with limb(s)
T02.8 Fractures involving other combinations of body regions
T02.9 Multiple fractures, unspecified

T03 Dislocations, sprains and strains involving multiple body regions

T03.0 Dislocations, sprains and strains involving head with neck
Incl.:
Dislocations, sprains and strains of sites classifiable to S03.- and S13.-
Excl.:
when combined with dislocations, sprains and strains of other body region(s) (T03.8)
T03.1 Dislocations, sprains and strains involving thorax with lower back and pelvis
Incl.:
Dislocations, sprains and strains of sites classifiable to S23.-, S33.- and T09.2
Excl.:
when combined with dislocations, sprains and strains of other body region(s) (T03.8)
T03.2 Dislocations, sprains and strains involving multiple regions of upper limb(s)
Incl.:
Dislocations, sprains and strains of sites classifiable to S43.-, S53.-, S63.- and T11.2
Excl.:
when combined with dislocations, sprains and strains of:
  • lower limb(s) (T03.4)
  • thorax, lower back and pelvis (T03.8)
T03.3 Dislocations, sprains and strains involving multiple regions of lower limb(s)
Incl.:
Dislocations, sprains and strains of sites classifiable to S73.-, S83.-, S93.- and T13.2
Excl.:
when combined with dislocations, sprains and strains of:
  • thorax, lower back and pelvis (T03.8)
  • upper limb(s) (T03.4)
T03.4 Dislocations, sprains and strains involving multiple regions of upper limb(s) with lower limb(s)
Excl.:
when combined with dislocations, sprains and strains of thorax, lower back and pelvis (T03.8)
T03.8 Dislocations, sprains and strains involving other combinations of body regions
T03.9 Multiple dislocations, sprains and strains, unspecified

T04 Crushing injuries involving multiple body regions

T04.0 Crushing injuries involving head with neck
Incl.:
Crushing injuries of sites classifiable to S07.- and S17.-
Excl.:
with involvement of other body region(s) (T04.8)
T04.1 Crushing injuries involving thorax with abdomen, lower back and pelvis
Incl.:
Crushing injury of:
  • sites classifiable to S28.- and S38.-
  • trunk NOS
Excl.:
with involvement of:
T04.2 Crushing injuries involving multiple regions of upper limb(s)
Incl.:
Crushing injury of:
  • sites classifiable to S47.-, S57.- and S67.-
  • upper limb NOS
Excl.:
with involvement of:
  • lower limb(s) (T04.4)
  • thorax, abdomen, lower back and pelvis (T04.7)
T04.3 Crushing injuries involving multiple regions of lower limb(s)
Incl.:
Crushing injury of:
  • lower limb NOS
  • sites classifiable to S77.-, S87.- and S97.-
Excl.:
with involvement of:
  • thorax, abdomen, lower back and pelvis (T04.7)
  • upper limb(s) (T04.4)
T04.4 Crushing injuries involving multiple regions of upper limb(s) with lower limb(s)
Excl.:
with involvement of thorax, abdomen, lower back and pelvis (T04.7)
T04.7 Crushing injuries of thorax with abdomen, lower back and pelvis with limb(s)
T04.8 Crushing injuries involving other combinations of body regions
T04.9 Multiple crushing injuries, unspecified

T05 Traumatic amputations involving multiple body regions

Incl.:
avulsion involving multiple body regions
Excl.:
decapitation (S18)
open wounds involving multiple body regions (T01.-)
traumatic amputation of:
T05.0 Traumatic amputation of both hands
T05.1 Traumatic amputation of one hand and other arm [any level, except hand]
T05.2 Traumatic amputation of both arms [any level]
T05.3 Traumatic amputation of both feet
T05.4 Traumatic amputation of one foot and other leg [any level, except foot]
T05.5 Traumatic amputation of both legs [any level]
T05.6 Traumatic amputation of upper and lower limbs, any combination [any level]
T05.8 Traumatic amputations involving other combinations of body regions
Incl.:
Transection of:
  • abdomen
  • thorax
T05.9 Multiple traumatic amputations, unspecified

T06 Other injuries involving multiple body regions, not elsewhere classified

T06.0 Injuries of brain and cranial nerves with injuries of nerves and spinal cord at neck level
Incl.:
Injuries classifiable to S04.- and S06.- with injuries classifiable to S14.-
T06.1 Injuries of nerves and spinal cord involving other multiple body regions
T06.2 Injuries of nerves involving multiple body regions
Incl.:
Multiple injuries of nerves NOS
Excl.:
with spinal cord involvement (T06.0-T06.1)
T06.3 Injuries of blood vessels involving multiple body regions
T06.4 Injuries of muscles and tendons involving multiple body regions
T06.5 Injuries of intrathoracic organs with intra-abdominal and pelvic organs
T06.8 Other specified injuries involving multiple body regions

T07 Unspecified multiple injuries

Excl.:
injury NOS (T14.9)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Injuries to unspecified part of trunk, limb or body region
(T08-T14)

Excl.:
burns and corrosions (T20-T32)
frostbite (T33-T35)
injuries involving multiple body regions (T00-T07)
insect bite or sting, venomous (T63.4)

T08 Fracture of spine, level unspecified

Excl.:
multiple fractures of spine, level unspecified (T02.1)
Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code Title
0
closed
1
open

T09 Other injuries of spine and trunk, level unspecified

Excl.:
crushing injury of trunk NOS (T04.1)
multiple injuries of trunk (T00-T06)
transection of trunk (T05.8)
T09.0 Superficial injury of trunk, level unspecified
T09.1 Open wound of trunk, level unspecified
T09.2 Dislocation, sprain and strain of unspecified joint and ligament of trunk
T09.3 Injury of spinal cord, level unspecified
T09.4 Injury of unspecified nerve, spinal nerve root and plexus of trunk
T09.5 Injury of unspecified muscle and tendon of trunk
T09.6 Traumatic amputation of trunk, level unspecified
T09.8 Other specified injuries of trunk, level unspecified
T09.9 Unspecified injury of trunk, level unspecified

T10 Fracture of upper limb, level unspecified

Incl.:
Broken arm NOS
Fracture of arm NOS
Excl.:
multiple fractures of upper limb, level unspecified (T02.-)
Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code Title
0
closed
1
open

T11 Other injuries of upper limb, level unspecified

Excl.:
crushing injury of upper limb NOS (T04.2)
fracture of upper limb, level unspecified (T10)
injuries involving multiple body regions (T00-T06)
T11.0 Superficial injury of upper limb, level unspecified
T11.1 Open wound of upper limb, level unspecified
T11.2 Dislocation, sprain and strain of unspecified joint and ligament of upper limb, level unspecified
T11.3 Injury of unspecified nerve of upper limb, level unspecified
T11.4 Injury of unspecified blood vessel of upper limb, level unspecified
T11.5 Injury of unspecified muscle and tendon of upper limb, level unspecified
T11.6 Traumatic amputation of upper limb, level unspecified
Incl.:
Traumatic amputation of arm NOS
T11.8 Other specified injuries of upper limb, level unspecified
T11.9 Unspecified injury of upper limb, level unspecified
Incl.:
Injury of arm NOS

T12 Fracture of lower limb, level unspecified

Incl.:
Broken leg NOS
Fracture of leg NOS
Excl.:
multiple fractures of leg, level unspecified (T02.-)
Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code Title
0
closed
1
open

T13 Other injuries of lower limb, level unspecified

Excl.:
crushing injury of lower limb NOS (T04.3)
fracture of lower limb, level unspecified (T12)
injuries involving multiple body regions (T00-T06)
T13.0 Superficial injury of lower limb, level unspecified
T13.1 Open wound of lower limb, level unspecified
T13.2 Dislocation, sprain and strain of unspecified joint and ligament of lower limb, level unspecified
T13.3 Injury of unspecified nerve of lower limb, level unspecified
T13.4 Injury of unspecified blood vessel of lower limb, level unspecified
T13.5 Injury of unspecified muscle and tendon of lower limb, level unspecified
T13.6 Traumatic amputation of lower limb, level unspecified
Incl.:
Traumatic amputation of leg NOS
T13.8 Other specified injuries of lower limb, level unspecified
T13.9 Unspecified injury of lower limb, level unspecified
Incl.:
Injury of leg NOS

T14 Injury of unspecified body region

Excl.:
injuries involving multiple body regions (T00-T07)
T14.0 Superficial injury of unspecified body region
Incl.:
  • Abrasion
  • Blister (nonthermal)
  • Bruise
  • Contusion
  • Haematoma
  • Injury from superficial foreign body (splinter) without major open wound
  • Insect bite (nonvenomous)
  • Superficial injury
  • NOS
Excl.:
multiple superficial injuries NOS (T00.9)
T14.1 Open wound of unspecified body region
Incl.:
  • Animal bite
  • Cut
  • Laceration
  • Open wound
  • Puncture wound with (penetrating) foreign body
  • NOS
Excl.:
multiple:
  • open wounds NOS (T01.9)
  • traumatic amputations NOS (T05.9)
traumatic amputation NOS (T14.7)
T14.2 Fracture of unspecified body region
Incl.:
Fracture:
  • NOS
  • closed NOS
  • dislocated NOS
  • displaced NOS
  • open NOS
Excl.:
multiple fractures NOS (T02.9)
Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code Title
0
closed
1
open
T14.3 Dislocation, sprain and strain of unspecified body region
Incl.:
  • Avulsion
  • Laceration
  • Sprain
  • Strain
  • Traumatic:
    • haemarthrosis
    • rupture
    • subluxation
    • tear
  • of
  • joint (capsule)
  • ligament
  • NOS
Excl.:
multiple dislocations, sprains and strains NOS (T03.9)
T14.4 Injury of nerve(s) of unspecified body region
Incl.:
  • Injury of nerve
  • Traumatic:
    • division of nerve
    • haematomyelia
    • paralysis (transient)
  • NOS
Excl.:
multiple injuries of nerves NOS (T06.2)
T14.5 Injury of blood vessel(s) of unspecified body region
Incl.:
  • Avulsion
  • Cut
  • Injury
  • Laceration
  • Traumatic:
    • aneurysm or fistula (arteriovenous)
    • arterial haematoma
    • rupture
  • of blood vessel(s) NOS
Excl.:
multiple injuries of blood vessels NOS (T06.3)
T14.6 Injury of muscles and tendons of unspecified body region
Incl.:
  • Avulsion
  • Cut
  • Injury
  • Laceration
  • Sprain
  • Strain
  • Traumatic rupture
  • of muscle(s) NOS and tendon(s) NOS
Excl.:
multiple injuries of tendons and muscles NOS (T06.4)
T14.7 Crushing injury and traumatic amputation of unspecified body region
Incl.:
Crushing injury NOS
Traumatic amputation NOS
Excl.:
multiple:
  • crushing injuries NOS (T04.9)
  • traumatic amputations NOS (T05.9)
T14.8 Other injuries of unspecified body region
T14.9 Injury, unspecified
Excl.:
multiple injuries NOS (T07)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Effects of foreign body entering through natural orifice
(T15-T19)

Excl.:
foreign body:
  • accidentally left in operation wound (T81.5)
  • in puncture wound - see open wound by body region
  • residual, in soft tissue (M79.5)
splinter, without major open wound - see superficial injury by body region

T15 Foreign body on external eye

Excl.:
foreign body in penetrating wound of:
retained foreign body in eyelid (H02.8)
T15.0 Foreign body in cornea
T15.1 Foreign body in conjunctival sac
T15.8 Foreign body in other and multiple parts of external eye
Incl.:
Foreign body in lacrimal punctum
T15.9 Foreign body on external eye, part unspecified

T16 Foreign body in ear

Incl.:
Auditory canal

T17 Foreign body in respiratory tract

Incl.:
asphyxia due to foreign body
choked on:
  • food (regurgitated)
  • phlegm
inhalation of liquid or vomitus NOS
T17.0 Foreign body in nasal sinus
T17.1 Foreign body in nostril
Incl.:
Nose NOS
T17.2 Foreign body in pharynx
Incl.:
Nasopharynx
Throat NOS
T17.3 Foreign body in larynx
T17.4 Foreign body in trachea
T17.5 Foreign body in bronchus
T17.8 Foreign body in other and multiple parts of respiratory tract
Incl.:
Bronchioles
Lung
T17.9 Foreign body in respiratory tract, part unspecified

T18 Foreign body in alimentary tract

Excl.:
foreign body in pharynx (T17.2)
T18.0 Foreign body in mouth
T18.1 Foreign body in oesophagus
T18.2 Foreign body in stomach
T18.3 Foreign body in small intestine
T18.4 Foreign body in colon
T18.5 Foreign body in anus and rectum
Incl.:
Rectosigmoid (junction)
T18.8 Foreign body in other and multiple parts of alimentary tract
T18.9 Foreign body in alimentary tract, part unspecified
Incl.:
Digestive system NOS
Swallowed foreign body NOS

T19 Foreign body in genitourinary tract

Excl.:
contraceptive device (intrauterine)(vaginal):
  • mechanical complication of (T83.3)
  • presence of (Z97.5)
T19.0 Foreign body in urethra
T19.1 Foreign body in bladder
T19.2 Foreign body in vulva and vagina
T19.3 Foreign body in uterus [any part]
T19.8 Foreign body in other and multiple parts of genitourinary tract
T19.9 Foreign body in genitourinary tract, part unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Burns and corrosions
(T20-T32)

Incl.:
burns (thermal) from:
  • electrical heating appliances
  • electricity
  • flame
  • friction
  • hot air and hot gases
  • hot objects
  • lightning
  • radiation
chemical burns [corrosions] (external)(internal)
scalds
Excl.:
erythema [dermatitis] ab igne (L59.0)
radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
sunburn (L55.-)

Burns and corrosions of external body surface, specified by site
(T20-T25)

Incl.:
burns and corrosions of:
  • first degree [erythema]
  • second degree [blisters] [epidermal loss]
  • third degree [deep necrosis of underlying tissue] [full-thickness skin loss]

T20 Burn and corrosion of head and neck

Incl.:
ear [any part]
eye with other parts of face, head and neck
lip
nose (septum)
scalp [any part]
temple (region)
Excl.:
burn and corrosion (of):
  • confined to eye and adnexa (T26.-)
  • mouth and pharynx (T28.-)
T20.0 Burn of unspecified degree of head and neck
T20.1 Burn of first degree of head and neck
T20.2 Burn of second degree of head and neck
T20.3 Burn of third degree of head and neck
T20.4 Corrosion of unspecified degree of head and neck
T20.5 Corrosion of first degree of head and neck
T20.6 Corrosion of second degree of head and neck
T20.7 Corrosion of third degree of head and neck

T21 Burn and corrosion of trunk

Incl.:
abdominal wall
anus
back [any part]
breast
buttock
chest wall
flank
groin
interscapular region
labium (majus)(minus)
penis
perineum
scrotum
testis
vulva
Excl.:
burn and corrosion of:
T21.0 Burn of unspecified degree of trunk
T21.1 Burn of first degree of trunk
T21.2 Burn of second degree of trunk
T21.3 Burn of third degree of trunk
T21.4 Corrosion of unspecified degree of trunk
T21.5 Corrosion of first degree of trunk
T21.6 Corrosion of second degree of trunk
T21.7 Corrosion of third degree of trunk

T22 Burn and corrosion of shoulder and upper limb, except wrist and hand

Incl.:
arm [any part, except wrist and hand alone]
axilla
scapular region
Excl.:
burn and corrosion of:
  • interscapular region (T21.-)
  • wrist and hand alone (T23.-)
T22.0 Burn of unspecified degree of shoulder and upper limb, except wrist and hand
T22.1 Burn of first degree of shoulder and upper limb, except wrist and hand
T22.2 Burn of second degree of shoulder and upper limb, except wrist and hand
T22.3 Burn of third degree of shoulder and upper limb, except wrist and hand
T22.4 Corrosion of unspecified degree of shoulder and upper limb, except wrist and hand
T22.5 Corrosion of first degree of shoulder and upper limb, except wrist and hand
T22.6 Corrosion of second degree of shoulder and upper limb, except wrist and hand
T22.7 Corrosion of third degree of shoulder and upper limb, except wrist and hand

T23 Burn and corrosion of wrist and hand

Incl.:
finger (nail)
palm
thumb (nail)
T23.0 Burn of unspecified degree of wrist and hand
T23.1 Burn of first degree of wrist and hand
T23.2 Burn of second degree of wrist and hand
T23.3 Burn of third degree of wrist and hand
T23.4 Corrosion of unspecified degree of wrist and hand
T23.5 Corrosion of first degree of wrist and hand
T23.6 Corrosion of second degree of wrist and hand
T23.7 Corrosion of third degree of wrist and hand

T24 Burn and corrosion of hip and lower limb, except ankle and foot

Incl.:
leg [any part, except ankle and foot alone]
Excl.:
burn and corrosion of ankle and foot alone (T25.-)
T24.0 Burn of unspecified degree of hip and lower limb, except ankle and foot
T24.1 Burn of first degree of hip and lower limb, except ankle and foot
T24.2 Burn of second degree of hip and lower limb, except ankle and foot
T24.3 Burn of third degree of hip and lower limb, except ankle and foot
T24.4 Corrosion of unspecified degree of hip and lower limb, except ankle and foot
T24.5 Corrosion of first degree of hip and lower limb, except ankle and foot
T24.6 Corrosion of second degree of hip and lower limb, except ankle and foot
T24.7 Corrosion of third degree of hip and lower limb, except ankle and foot

T25 Burn and corrosion of ankle and foot

Incl.:
toe(s)
T25.0 Burn of unspecified degree of ankle and foot
T25.1 Burn of first degree of ankle and foot
T25.2 Burn of second degree of ankle and foot
T25.3 Burn of third degree of ankle and foot
T25.4 Corrosion of unspecified degree of ankle and foot
T25.5 Corrosion of first degree of ankle and foot
T25.6 Corrosion of second degree of ankle and foot
T25.7 Corrosion of third degree of ankle and foot

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Burns and corrosions
(T20-T32)

Incl.:
burns (thermal) from:
  • electrical heating appliances
  • electricity
  • flame
  • friction
  • hot air and hot gases
  • hot objects
  • lightning
  • radiation
chemical burns [corrosions] (external)(internal)
scalds
Excl.:
erythema [dermatitis] ab igne (L59.0)
radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
sunburn (L55.-)

Burns and corrosions of external body surface, specified by site
(T20-T25)

Incl.:
burns and corrosions of:
  • first degree [erythema]
  • second degree [blisters] [epidermal loss]
  • third degree [deep necrosis of underlying tissue] [full-thickness skin loss]

T20 Burn and corrosion of head and neck

Incl.:
ear [any part]
eye with other parts of face, head and neck
lip
nose (septum)
scalp [any part]
temple (region)
Excl.:
burn and corrosion (of):
  • confined to eye and adnexa (T26.-)
  • mouth and pharynx (T28.-)
T20.0 Burn of unspecified degree of head and neck
T20.1 Burn of first degree of head and neck
T20.2 Burn of second degree of head and neck
T20.3 Burn of third degree of head and neck
T20.4 Corrosion of unspecified degree of head and neck
T20.5 Corrosion of first degree of head and neck
T20.6 Corrosion of second degree of head and neck
T20.7 Corrosion of third degree of head and neck

T21 Burn and corrosion of trunk

Incl.:
abdominal wall
anus
back [any part]
breast
buttock
chest wall
flank
groin
interscapular region
labium (majus)(minus)
penis
perineum
scrotum
testis
vulva
Excl.:
burn and corrosion of:
T21.0 Burn of unspecified degree of trunk
T21.1 Burn of first degree of trunk
T21.2 Burn of second degree of trunk
T21.3 Burn of third degree of trunk
T21.4 Corrosion of unspecified degree of trunk
T21.5 Corrosion of first degree of trunk
T21.6 Corrosion of second degree of trunk
T21.7 Corrosion of third degree of trunk

T22 Burn and corrosion of shoulder and upper limb, except wrist and hand

Incl.:
arm [any part, except wrist and hand alone]
axilla
scapular region
Excl.:
burn and corrosion of:
  • interscapular region (T21.-)
  • wrist and hand alone (T23.-)
T22.0 Burn of unspecified degree of shoulder and upper limb, except wrist and hand
T22.1 Burn of first degree of shoulder and upper limb, except wrist and hand
T22.2 Burn of second degree of shoulder and upper limb, except wrist and hand
T22.3 Burn of third degree of shoulder and upper limb, except wrist and hand
T22.4 Corrosion of unspecified degree of shoulder and upper limb, except wrist and hand
T22.5 Corrosion of first degree of shoulder and upper limb, except wrist and hand
T22.6 Corrosion of second degree of shoulder and upper limb, except wrist and hand
T22.7 Corrosion of third degree of shoulder and upper limb, except wrist and hand

T23 Burn and corrosion of wrist and hand

Incl.:
finger (nail)
palm
thumb (nail)
T23.0 Burn of unspecified degree of wrist and hand
T23.1 Burn of first degree of wrist and hand
T23.2 Burn of second degree of wrist and hand
T23.3 Burn of third degree of wrist and hand
T23.4 Corrosion of unspecified degree of wrist and hand
T23.5 Corrosion of first degree of wrist and hand
T23.6 Corrosion of second degree of wrist and hand
T23.7 Corrosion of third degree of wrist and hand

T24 Burn and corrosion of hip and lower limb, except ankle and foot

Incl.:
leg [any part, except ankle and foot alone]
Excl.:
burn and corrosion of ankle and foot alone (T25.-)
T24.0 Burn of unspecified degree of hip and lower limb, except ankle and foot
T24.1 Burn of first degree of hip and lower limb, except ankle and foot
T24.2 Burn of second degree of hip and lower limb, except ankle and foot
T24.3 Burn of third degree of hip and lower limb, except ankle and foot
T24.4 Corrosion of unspecified degree of hip and lower limb, except ankle and foot
T24.5 Corrosion of first degree of hip and lower limb, except ankle and foot
T24.6 Corrosion of second degree of hip and lower limb, except ankle and foot
T24.7 Corrosion of third degree of hip and lower limb, except ankle and foot

T25 Burn and corrosion of ankle and foot

Incl.:
toe(s)
T25.0 Burn of unspecified degree of ankle and foot
T25.1 Burn of first degree of ankle and foot
T25.2 Burn of second degree of ankle and foot
T25.3 Burn of third degree of ankle and foot
T25.4 Corrosion of unspecified degree of ankle and foot
T25.5 Corrosion of first degree of ankle and foot
T25.6 Corrosion of second degree of ankle and foot
T25.7 Corrosion of third degree of ankle and foot

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Burns and corrosions
(T20-T32)

Incl.:
burns (thermal) from:
  • electrical heating appliances
  • electricity
  • flame
  • friction
  • hot air and hot gases
  • hot objects
  • lightning
  • radiation
chemical burns [corrosions] (external)(internal)
scalds
Excl.:
erythema [dermatitis] ab igne (L59.0)
radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
sunburn (L55.-)

T26 Burn and corrosion confined to eye and adnexa

T26.0 Burn of eyelid and periocular area
T26.1 Burn of cornea and conjunctival sac
T26.2 Burn with resulting rupture and destruction of eyeball
T26.3 Burn of other parts of eye and adnexa
T26.4 Burn of eye and adnexa, part unspecified
T26.5 Corrosion of eyelid and periocular area
T26.6 Corrosion of cornea and conjunctival sac
T26.7 Corrosion with resulting rupture and destruction of eyeball
T26.8 Corrosion of other parts of eye and adnexa
T26.9 Corrosion of eye and adnexa, part unspecified

T27 Burn and corrosion of respiratory tract

T27.0 Burn of larynx and trachea
T27.1 Burn involving larynx and trachea with lung
Excl.:
blast injury syndrome (T70.8)
T27.2 Burn of other parts of respiratory tract
Incl.:
Thoracic cavity
T27.3 Burn of respiratory tract, part unspecified
T27.4 Corrosion of larynx and trachea
T27.5 Corrosion involving larynx and trachea with lung
T27.6 Corrosion of other parts of respiratory tract
T27.7 Corrosion of respiratory tract, part unspecified

T28 Burn and corrosion of other internal organs

T28.0 Burn of mouth and pharynx
T28.1 Burn of oesophagus
T28.2 Burn of other parts of alimentary tract
T28.3 Burn of internal genitourinary organs
T28.4 Burn of other and unspecified internal organs
T28.5 Corrosion of mouth and pharynx
T28.6 Corrosion of oesophagus
T28.7 Corrosion of other parts of alimentary tract
T28.8 Corrosion of internal genitourinary organs
T28.9 Corrosion of other and unspecified internal organs

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Burns and corrosions
(T20-T32)

Incl.:
burns (thermal) from:
  • electrical heating appliances
  • electricity
  • flame
  • friction
  • hot air and hot gases
  • hot objects
  • lightning
  • radiation
chemical burns [corrosions] (external)(internal)
scalds
Excl.:
erythema [dermatitis] ab igne (L59.0)
radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
sunburn (L55.-)

T29 Burns and corrosions of multiple body regions

Incl.:
burns and corrosions classifiable to more than one of the categories T20-T28
T29.0 Burns of multiple regions, unspecified degree
Incl.:
Multiple burns NOS
T29.1 Burns of multiple regions, no more than first-degree burns mentioned
T29.2 Burns of multiple regions, no more than second-degree burns mentioned
T29.3 Burns of multiple regions, at least one burn of third degree mentioned
T29.4 Corrosions of multiple regions, unspecified degree
Incl.:
Multiple corrosions NOS
T29.5 Corrosions of multiple regions, no more than first-degree corrosions mentioned
T29.6 Corrosions of multiple regions, no more than second-degree corrosions mentioned
T29.7 Corrosions of multiple regions, at least one corrosion of third degree mentioned

T30 Burn and corrosion, body region unspecified

Excl.:
burn and corrosion with statement of the extent of body surface involved (T31-T32)
T30.0 Burn of unspecified body region, unspecified degree
Incl.:
Burn NOS
T30.1 Burn of first degree, body region unspecified
Incl.:
First-degree burn NOS
T30.2 Burn of second degree, body region unspecified
Incl.:
Second-degree burn NOS
T30.3 Burn of third degree, body region unspecified
Incl.:
Third-degree burn NOS
T30.4 Corrosion of unspecified body region, unspecified degree
Incl.:
Corrosion NOS
T30.5 Corrosion of first degree, body region unspecified
Incl.:
First-degree corrosion NOS
T30.6 Corrosion of second degree, body region unspecified
Incl.:
Second-degree corrosion NOS
T30.7 Corrosion of third degree, body region unspecified
Incl.:
Third-degree corrosion NOS

T31 Burns classified according to extent of body surface involved

Note:

This category is to be used as the primary code only when the site of the burn is unspecified. It may be used as a supplementary code, if desired, with categories T20-T25 or T29 when the site is specified.

T31.0 Burns involving less than 10% of body surface
T31.1 Burns involving 10-19% of body surface
T31.2 Burns involving 20-29% of body surface
T31.3 Burns involving 30-39% of body surface
T31.4 Burns involving 40-49% of body surface
T31.5 Burns involving 50-59% of body surface
T31.6 Burns involving 60-69% of body surface
T31.7 Burns involving 70-79% of body surface
T31.8 Burns involving 80-89% of body surface
T31.9 Burns involving 90% or more of body surface

T32 Corrosions classified according to extent of body surface involved

Note:

This category is to be used as the primary code only when the site of the corrosion is unspecified. It may be used as a supplementary code, if desired, with categories T20-T25 or T29 when the site is specified.

T32.0 Corrosions involving less than 10% of body surface
T32.1 Corrosions involving 10-19% of body surface
T32.2 Corrosions involving 20-29% of body surface
T32.3 Corrosions involving 30-39% of body surface
T32.4 Corrosions involving 40-49% of body surface
T32.5 Corrosions involving 50-59% of body surface
T32.6 Corrosions involving 60-69% of body surface
T32.7 Corrosions involving 70-79% of body surface
T32.8 Corrosions involving 80-89% of body surface
T32.9 Corrosions involving 90% or more of body surface

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Frostbite
(T33-T35)

Excl.:
hypothermia and other effects of reduced temperature (T68-T69)

T33 Superficial frostbite

Incl.:
frostbite with partial-thickness skin loss
Excl.:
superficial frostbite involving multiple body regions (T35.0)
T33.0 Superficial frostbite of head
T33.1 Superficial frostbite of neck
T33.2 Superficial frostbite of thorax
T33.3 Superficial frostbite of abdominal wall, lower back and pelvis
T33.4 Superficial frostbite of arm
Excl.:
superficial frostbite of wrist and hand alone (T33.5)
T33.5 Superficial frostbite of wrist and hand
T33.6 Superficial frostbite of hip and thigh
T33.7 Superficial frostbite of knee and lower leg
Excl.:
superficial frostbite of ankle and foot alone (T33.8)
T33.8 Superficial frostbite of ankle and foot
T33.9 Superficial frostbite of other and unspecified sites
Incl.:
Superficial frostbite (of):
  • NOS
  • leg NOS
  • trunk NOS

T34 Frostbite with tissue necrosis

Excl.:
frostbite with tissue necrosis involving multiple body regions (T35.1)
T34.0 Frostbite with tissue necrosis of head
T34.1 Frostbite with tissue necrosis of neck
T34.2 Frostbite with tissue necrosis of thorax
T34.3 Frostbite with tissue necrosis of abdominal wall, lower back and pelvis
T34.4 Frostbite with tissue necrosis of arm
Excl.:
frostbite with tissue necrosis of wrist and hand alone (T34.5)
T34.5 Frostbite with tissue necrosis of wrist and hand
T34.6 Frostbite with tissue necrosis of hip and thigh
T34.7 Frostbite with tissue necrosis of knee and lower leg
Excl.:
frostbite with tissue necrosis of ankle and foot alone (T34.8)
T34.8 Frostbite with tissue necrosis of ankle and foot
T34.9 Frostbite with tissue necrosis of other and unspecified sites
Incl.:
Frostbite with tissue necrosis (of):
  • NOS
  • leg NOS
  • trunk NOS

T35 Frostbite involving multiple body regions and unspecified frostbite

T35.0 Superficial frostbite involving multiple body regions
Incl.:
Multiple superficial frostbite NOS
T35.1 Frostbite with tissue necrosis involving multiple body regions
Incl.:
Multiple frostbite with tissue necrosis NOS
T35.2 Unspecified frostbite of head and neck
T35.3 Unspecified frostbite of thorax, abdomen, lower back and pelvis
Incl.:
Frostbite of trunk NOS
T35.4 Unspecified frostbite of upper limb
T35.5 Unspecified frostbite of lower limb
T35.6 Unspecified frostbite involving multiple body regions
Incl.:
Multiple frostbite NOS
T35.7 Unspecified frostbite of unspecified site
Incl.:
Frostbite NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Poisoning by drugs, medicaments and biological substances
(T36-T50)

Incl.:
overdose of these substances
wrong substance given or taken in error
Excl.:
abuse of non-dependence-producing substances (F55)
adverse effects ["hypersensitivity", "reaction", etc.] of correct substance properly administered; such cases are to be classified according to the nature of the adverse effect, such as:
intoxication meaning inebriation (F10-F19)
drug reaction and poisoning affecting the fetus and newborn (P00-P96)
pathological drug intoxication (F10-F19)

T36 Poisoning by systemic antibiotics

Excl.:
antibiotics:
  • antineoplastic (T45.1)
  • locally applied NEC (T49.0)
  • topically used for:
T36.0 Penicillins
T36.1 Cefalosporins and other beta-lactam antibiotics
T36.2 Chloramphenicol group
T36.3 Macrolides
T36.4 Tetracyclines
T36.5 Aminoglycosides
Incl.:
Streptomycin
T36.6 Rifamycins
T36.7 Antifungal antibiotics, systemically used
T36.8 Other systemic antibiotics
T36.9 Systemic antibiotic, unspecified

T37 Poisoning by other systemic anti-infectives and antiparasitics

Excl.:
anti-infectives:
  • locally applied NEC (T49.0)
  • topically used (for):
T37.0 Sulfonamides
T37.1 Antimycobacterial drugs
Excl.:
rifamycins (T36.6)
streptomycin (T36.5)
T37.2 Antimalarials and drugs acting on other blood protozoa
Excl.:
hydroxyquinoline derivatives (T37.8)
T37.3 Other antiprotozoal drugs
T37.4 Anthelminthics
T37.5 Antiviral drugs
Excl.:
amantadine (T42.8)
cytarabine (T45.1)
T37.8 Other specified systemic anti-infectives and antiparasitics
Incl.:
Hydroxyquinoline derivatives
Excl.:
antimalarial drugs (T37.2)
T37.9 Systemic anti-infective and antiparasitic, unspecified

T38 Poisoning by hormones and their synthetic substitutes and antagonists, not elsewhere classified

Excl.:
mineralocorticoids and their antagonists (T50.0)
oxytocic hormones (T48.0)
parathyroid hormones and derivatives (T50.9)
T38.0 Glucocorticoids and synthetic analogues
Excl.:
glucocorticoids, topically used (T49.-)
T38.1 Thyroid hormones and substitutes
T38.2 Antithyroid drugs
T38.3 Insulin and oral hypoglycaemic [antidiabetic] drugs
T38.4 Oral contraceptives
Incl.:
Multiple- and single-ingredient preparations
T38.5 Other estrogens and progestogens
Incl.:
Mixtures and substitutes
T38.6 Antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified
Incl.:
Tamoxifen
T38.7 Androgens and anabolic congeners
T38.8 Other and unspecified hormones and their synthetic substitutes
Incl.:
Anterior pituitary [adenohypophyseal] hormones
T38.9 Other and unspecified hormone antagonists

T39 Poisoning by nonopioid analgesics, antipyretics and antirheumatics

T39.0 Salicylates
T39.1 4-Aminophenol derivatives
T39.2 Pyrazolone derivatives
T39.3 Other nonsteroidal anti-inflammatory drugs [NSAID]
T39.4 Antirheumatics, not elsewhere classified
Excl.:
glucocorticoids (T38.0)
salicylates (T39.0)
T39.8 Other nonopioid analgesics and antipyretics, not elsewhere classified
T39.9 Nonopioid analgesic, antipyretic and antirheumatic, unspecified

T40 Poisoning by narcotics and psychodysleptics [hallucinogens]

Excl.:
intoxication meaning inebriation (F10-F19)
T40.0 Opium
T40.1 Heroin
T40.2 Other opioids
Incl.:
Codeine
Morphine
T40.3 Methadone
T40.4 Other synthetic narcotics
Incl.:
Pethidine
T40.5 Cocaine
T40.6 Other and unspecified narcotics
T40.7 Cannabis (derivatives)
T40.8 Lysergide [LSD]
T40.9 Other and unspecified psychodysleptics [hallucinogens]
Incl.:
Mescaline
Psilocin
Psilocybine

T41 Poisoning by anaesthetics and therapeutic gases

Excl.:
benzodiazepines (T42.4)
cocaine (T40.5)
opioids (T40.0-T40.2)
T41.0 Inhaled anaesthetics
Excl.:
oxygen (T41.5)
T41.1 Intravenous anaesthetics
Incl.:
Thiobarbiturates
T41.2 Other and unspecified general anaesthetics
T41.3 Local anaesthetics
T41.4 Anaesthetic, unspecified
T41.5 Therapeutic gases
Incl.:
Carbon dioxide
Oxygen

T42 Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs

Excl.:
intoxication meaning inebriation (F10-F19)
T42.0 Hydantoin derivatives
T42.1 Iminostilbenes
Incl.:
Carbamazepine
T42.2 Succinimides and oxazolidinediones
T42.3 Barbiturates
Excl.:
thiobarbiturates (T41.1)
T42.4 Benzodiazepines
T42.5 Mixed antiepileptics, not elsewhere classified
T42.6 Other antiepileptic and sedative-hypnotic drugs
Incl.:
Methaqualone
Valproic acid
Excl.:
carbamazepine (T42.1)
T42.7 Antiepileptic and sedative-hypnotic drugs, unspecified
Incl.:
  • Sleeping:
    • draught
    • drug
    • tablet
  • NOS
T42.8 Antiparkinsonism drugs and other central muscle-tone depressants
Incl.:
Amantadine

T43 Poisoning by psychotropic drugs, not elsewhere classified

Excl.:
appetite depressants (T50.5)
barbiturates (T42.3)
benzodiazepines (T42.4)
intoxication meaning inebriation (F10-F19)
methaqualone (T42.6)
psychodysleptics [hallucinogens] (T40.7-T40.9)
T43.0 Tricyclic and tetracyclic antidepressants
T43.1 Monoamine-oxidase-inhibitor antidepressants
T43.2 Other and unspecified antidepressants
T43.3 Phenothiazine antipsychotics and neuroleptics
T43.4 Butyrophenone and thioxanthene neuroleptics
T43.5 Other and unspecified antipsychotics and neuroleptics
Excl.:
rauwolfia (T46.5)
T43.6 Psychostimulants with abuse potential
Excl.:
cocaine (T40.5)
T43.8 Other psychotropic drugs, not elsewhere classified
T43.9 Psychotropic drug, unspecified

T44 Poisoning by drugs primarily affecting the autonomic nervous system

T44.0 Anticholinesterase agents
T44.1 Other parasympathomimetics [cholinergics]
T44.2 Ganglionic blocking drugs, not elsewhere classified
T44.3 Other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, not elsewhere classified
Incl.:
Papaverine
T44.4 Predominantly alpha-adrenoreceptor agonists, not elsewhere classified
Incl.:
Metaraminol
T44.5 Predominantly beta-adrenoreceptor agonists, not elsewhere classified
Excl.:
beta-adrenoreceptor agonists used in asthma therapy (T48.6)
T44.6 Alpha-adrenoreceptor antagonists, not elsewhere classified
Excl.:
ergot alkaloids (T48.0)
T44.7 Beta-adrenoreceptor antagonists, not elsewhere classified
T44.8 Centrally acting and adrenergic-neuron-blocking agents, not elsewhere classified
Excl.:
clonidine (T46.5)
guanethidine (T46.5)
T44.9 Other and unspecified drugs primarily affecting the autonomic nervous system
Incl.:
Drug stimulating both alpha- and beta-adrenoreceptors

T45 Poisoning by primarily systemic and haematological agents, not elsewhere classified

T45.0 Antiallergic and antiemetic drugs
Excl.:
phenothiazine-based neuroleptics (T43.3)
T45.1 Antineoplastic and immunosuppressive drugs
Incl.:
Antineoplastic antibiotics
Cytarabine
Excl.:
tamoxifen (T38.6)
T45.2 Vitamins, not elsewhere classified
Excl.:
nicotinic acid (derivatives) (T46.7)
vitamin K (T45.7)
T45.3 Enzymes, not elsewhere classified
T45.4 Iron and its compounds
T45.5 Anticoagulants
T45.6 Fibrinolysis-affecting drugs
T45.7 Anticoagulant antagonists, vitamin K and other coagulants
T45.8 Other primarily systemic and haematological agents
Incl.:
Liver preparations and other antianaemic agents
Natural blood and blood products
Plasma substitute
Excl.:
immunoglobulin (T50.9)
iron (T45.4)
T45.9 Primarily systemic and haematological agent, unspecified

T46 Poisoning by agents primarily affecting the cardiovascular system

Excl.:
metaraminol (T44.4)
T46.0 Cardiac-stimulant glycosides and drugs of similar action
T46.1 Calcium-channel blockers
T46.2 Other antidysrhythmic drugs, not elsewhere classified
Excl.:
beta-adrenoreceptor antagonists (T44.7)
T46.3 Coronary vasodilators, not elsewhere classified
Incl.:
Dipyridamole
Excl.:
beta-adrenoreceptor antagonists (T44.7)
calcium-channel blockers (T46.1)
T46.4 Angiotensin-converting-enzyme inhibitors
T46.5 Other antihypertensive drugs, not elsewhere classified
Incl.:
Clonidine
Guanethidine
Rauwolfia
Excl.:
beta-adrenoreceptor antagonists (T44.7)
calcium-channel blockers (T46.1)
diuretics (T50.0-T50.2)
T46.6 Antihyperlipidaemic and antiarteriosclerotic drugs
T46.7 Peripheral vasodilators
Incl.:
Nicotinic acid (derivatives)
Excl.:
papaverine (T44.3)
T46.8 Antivaricose drugs, including sclerosing agents
T46.9 Other and unspecified agents primarily affecting the cardiovascular system

T47 Poisoning by agents primarily affecting the gastrointestinal system

T47.0 Histamine H2-receptor antagonists
T47.1 Other antacids and anti-gastric-secretion drugs
T47.2 Stimulant laxatives
T47.3 Saline and osmotic laxatives
T47.4 Other laxatives
Incl.:
Intestinal atonia drugs
T47.5 Digestants
T47.6 Antidiarrhoeal drugs
Excl.:
systemic antibiotics and other anti-infectives (T36-T37)
T47.7 Emetics
T47.8 Other agents primarily affecting the gastrointestinal system
T47.9 Agent primarily affecting the gastrointestinal system, unspecified

T48 Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system

T48.0 Oxytocic drugs
Excl.:
estrogens, progestogens and antagonists (T38.4-T38.6)
T48.1 Skeletal muscle relaxants [neuromuscular blocking agents]
T48.2 Other and unspecified agents primarily acting on muscles
T48.3 Antitussives
T48.4 Expectorants
T48.5 Anti-common-cold drugs
T48.6 Antiasthmatics, not elsewhere classified
Incl.:
Beta-adrenoreceptor agonists used in asthma therapy
Salbutamol
Excl.:
beta-adrenoreceptor agonists not used in asthma therapy (T44.5)
anterior pituitary [adenohypophyseal] hormones (T38.8)
T48.7 Other and unspecified agents primarily acting on the respiratory system

T49 Poisoning by topical agents primarily affecting skin and mucous membrane and by ophthalmological, otorhinolaryngological and dental drugs

Incl.:
glucocorticoids, topically used
T49.0 Local antifungal, anti-infective and anti-inflammatory drugs, not elsewhere classified
T49.1 Antipruritics
T49.2 Local astringents and local detergents
T49.3 Emollients, demulcents and protectants
T49.4 Keratolytics, keratoplastics and other hair treatment drugs and preparations
T49.5 Ophthalmological drugs and preparations
Incl.:
Eye anti-infectives
T49.6 Otorhinolaryngological drugs and preparations
Incl.:
Ear, nose and throat anti-infectives
T49.7 Dental drugs, topically applied
T49.8 Other topical agents
Incl.:
Spermicides
T49.9 Topical agent, unspecified

T50 Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances

T50.0 Mineralocorticoids and their antagonists
T50.1 Loop [high-ceiling] diuretics
T50.2 Carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics
Incl.:
Acetazolamide
T50.3 Electrolytic, caloric and water-balance agents
Incl.:
Oral rehydration salts
T50.4 Drugs affecting uric acid metabolism
T50.5 Appetite depressants
T50.6 Antidotes and chelating agents, not elsewhere classified
Incl.:
Alcohol deterrents
T50.7 Analeptics and opioid receptor antagonists
T50.8 Diagnostic agents
T50.9 Other and unspecified drugs, medicaments and biological substances
Incl.:
Acidifying agents
Alkalizing agents
Immunoglobulin
Immunologicals
Lipotropic drugs
Parathyroid hormones and derivatives

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Toxic effects of substances chiefly nonmedicinal as to source
(T51-T65)

Excl.:
corrosions (T20-T32)
localized toxic effects classified elsewhere (A00-R99)
respiratory conditions due to external agents (J60-J70)

T51 Toxic effect of alcohol

T51.0 Ethanol
Incl.:
Ethyl alcohol
Excl.:
acute alcohol intoxication or "hangover" effects (F10.0)
drunkenness (F10.0)
pathological alcohol intoxication (F10.0)
T51.1 Methanol
Incl.:
Methyl alcohol
T51.2 2-Propanol
Incl.:
Isopropyl alcohol
T51.3 Fusel oil
Incl.:
Alcohol:
  • amyl
  • butyl [1-butanol]
  • propyl [1-propanol]
T51.8 Other alcohols
T51.9 Alcohol, unspecified

T52 Toxic effect of organic solvents

Excl.:
halogen derivatives of aliphatic and aromatic hydrocarbons (T53.-)
T52.0 Petroleum products
Incl.:
Gasoline [petrol]
Kerosine [paraffin oil]
Paraffin wax
Petroleum:
  • ether
  • naphtha
  • spirits
T52.1 Benzene
Excl.:
homologues of benzene (T52.2)
nitroderivatives and aminoderivatives of benzene and its homologues (T65.3)
T52.2 Homologues of benzene
Incl.:
Toluene [methylbenzene]
Xylene [dimethylbenzene]
T52.3 Glycols
T52.4 Ketones
T52.8 Other organic solvents
T52.9 Organic solvent, unspecified

T53 Toxic effect of halogen derivatives of aliphatic and aromatic hydrocarbons

T53.0 Carbon tetrachloride
Incl.:
Tetrachloromethane
T53.1 Chloroform
Incl.:
Trichloromethane
T53.2 Trichloroethylene
Incl.:
Trichloroethene
T53.3 Tetrachloroethylene
Incl.:
Perchloroethylene
Tetrachloroethene
T53.4 Dichloromethane
Incl.:
Methylene chloride
T53.5 Chlorofluorocarbons
T53.6 Other halogen derivatives of aliphatic hydrocarbons
T53.7 Other halogen derivatives of aromatic hydrocarbons
T53.9 Halogen derivative of aliphatic and aromatic hydrocarbons, unspecified

T54 Toxic effect of corrosive substances

T54.0 Phenol and phenol homologues
T54.1 Other corrosive organic compounds
T54.2 Corrosive acids and acid-like substances
Incl.:
Acid:
  • hydrochloric
  • sulfuric
T54.3 Corrosive alkalis and alkali-like substances
Incl.:
Potassium hydroxide
Sodium hydroxide
T54.9 Corrosive substance, unspecified

T55 Toxic effect of soaps and detergents

T56 Toxic effect of metals

Incl.:
fumes and vapours of metals
metals from all sources, except medicinal substances
Excl.:
arsenic and its compounds (T57.0)
manganese and its compounds (T57.2)
T56.0 Lead and its compounds
T56.1 Mercury and its compounds
T56.2 Chromium and its compounds
T56.3 Cadmium and its compounds
T56.4 Copper and its compounds
T56.5 Zinc and its compounds
T56.6 Tin and its compounds
T56.7 Beryllium and its compounds
T56.8 Other metals
Incl.:
Thallium
T56.9 Metal, unspecified

T57 Toxic effect of other inorganic substances

T57.0 Arsenic and its compounds
T57.1 Phosphorus and its compounds
Excl.:
organophosphate insecticides (T60.0)
T57.2 Manganese and its compounds
T57.3 Hydrogen cyanide
T57.8 Other specified inorganic substances
T57.9 Inorganic substance, unspecified

T58 Toxic effect of carbon monoxide

Incl.:
From all sources

T59 Toxic effect of other gases, fumes and vapours

Incl.:
aerosol propellants
Excl.:
chlorofluorocarbons (T53.5)
T59.0 Nitrogen oxides
T59.1 Sulfur dioxide
T59.2 Formaldehyde
T59.3 Lacrimogenic gas
Incl.:
Tear gas
T59.4 Chlorine gas
T59.5 Fluorine gas and hydrogen fluoride
T59.6 Hydrogen sulfide
T59.7 Carbon dioxide
T59.8 Other specified gases, fumes and vapours
T59.9 Gases, fumes and vapours, unspecified

T60 Toxic effect of pesticides

Incl.:
wood preservatives
T60.0 Organophosphate and carbamate insecticides
T60.1 Halogenated insecticides
Excl.:
chlorinated hydrocarbons (T53.-)
T60.2 Other insecticides
T60.3 Herbicides and fungicides
T60.4 Rodenticides
Excl.:
strychnine and its salts (T65.1)
T60.8 Other pesticides
T60.9 Pesticide, unspecified

T61 Toxic effect of noxious substances eaten as seafood

Excl.:
allergic reaction to food, such as:
  • anaphylactic shock due to adverse food reaction (T78.0)
  • dermatitis (L23.6, L25.4, L27.2)
  • gastroenteritis (noninfective) (K52.-)
bacterial foodborne intoxications (A05.-)
toxic effect of food contaminants, such as:
  • aflatoxin and other mycotoxins (T64)
  • cyanides (T65.0)
  • hydrogen cyanide (T57.3)
  • mercury (T56.1)
T61.0 Ciguatera fish poisoning
T61.1 Scombroid fish poisoning
Incl.:
Histamine-like syndrome
T61.2 Other fish and shellfish poisoning
T61.8 Toxic effect of other seafoods
T61.9 Toxic effect of unspecified seafood

T62 Toxic effect of other noxious substances eaten as food

Excl.:
allergic reaction to food, such as:
  • anaphylactic shock due to adverse food reaction (T78.0)
  • dermatitis (L23.6, L25.4, L27.2)
  • gastroenteritis (noninfective) (K52.-)
bacterial foodborne intoxications (A05.-)
toxic effect of food contaminants, such as:
  • aflatoxin and other mycotoxins (T64)
  • cyanides (T65.0)
  • hydrogen cyanide (T57.3)
  • mercury (T56.1)
T62.0 Ingested mushrooms
T62.1 Ingested berries
T62.2 Other ingested (parts of) plant(s)
T62.8 Other specified noxious substances eaten as food
T62.9 Noxious substance eaten as food, unspecified

T63 Toxic effect of contact with venomous animals

T63.0 Snake venom
Incl.:
Sea-snake venom
T63.1 Venom of other reptiles
Incl.:
Lizard venom
T63.2 Venom of scorpion
T63.3 Venom of spider
T63.4 Venom of other arthropods
Incl.:
Insect bite or sting, venomous
T63.5 Toxic effect of contact with fish
Excl.:
poisoning by ingestion of fish (T61.0-T61.2)
T63.6 Toxic effect of contact with other marine animals
Incl.:
Jellyfish
Sea anemone
Shellfish
Starfish
Excl.:
poisoning by ingestion of shellfish (T61.2)
sea-snake venom (T63.0)
T63.8 Toxic effect of contact with other venomous animals
Incl.:
Venom of amphibian
T63.9 Toxic effect of contact with unspecified venomous animal

T64 Toxic effect of aflatoxin and other mycotoxin food contaminants

T65 Toxic effect of other and unspecified substances

T65.0 Cyanides
Excl.:
hydrogen cyanide (T57.3)
T65.1 Strychnine and its salts
T65.2 Tobacco and nicotine
T65.3 Nitroderivatives and aminoderivatives of benzene and its homologues
Incl.:
Aniline [benzenamine]
Nitrobenzene
Trinitrotoluene
T65.4 Carbon disulfide
T65.5 Nitroglycerin and other nitric acids and esters
Incl.:
1,2,3-Propanetriol trinitrate
T65.6 Paints and dyes, not elsewhere classified
T65.8 Toxic effect of other specified substances
T65.9 Toxic effect of unspecified substance
Incl.:
Poisoning NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

T66 Unspecified effects of radiation

Incl.:
Radiation sickness
Excl.:
specified adverse effects of radiation, such as:
  • burns (T20-T31)
  • leukaemia (C91-C95)
  • radiation:
    • gastroenteritis and colitis (K52.0)
    • pneumonitis (J70.0)
    • related disorders of the skin and subcutaneous tissue (L55-L59)
  • sunburn (L55.-)

T67 Effects of heat and light

Excl.:
burns (T20-T31)
erythema [dermatitis] ab igne (L59.0)
malignant hyperthermia due to anaesthesia (T88.3)
radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
sunburn (L55.-)
sweat disorders due to heat (L74-L75)
T67.0 Heatstroke and sunstroke
Incl.:
Heat:
  • apoplexy
  • pyrexia
Siriasis
Thermoplegia
T67.1 Heat syncope
Incl.:
Heat collapse
T67.2 Heat cramp
T67.3 Heat exhaustion, anhydrotic
Incl.:
Heat prostration due to water depletion
Excl.:
heat exhaustion due to salt depletion (T67.4)
T67.4 Heat exhaustion due to salt depletion
Incl.:
Heat prostration due to salt (and water) depletion
T67.5 Heat exhaustion, unspecified
Incl.:
Heat prostration NOS
T67.6 Heat fatigue, transient
T67.7 Heat oedema
T67.8 Other effects of heat and light
T67.9 Effect of heat and light, unspecified

T68 Hypothermia

Incl.:
Accidental hypothermia
Excl.:
frostbite (T33-T35)
hypothermia (of):
  • following anaesthesia (T88.5)
  • newborn (P80.-)
  • not associated with low environmental temperature (R68.0)

T69 Other effects of reduced temperature

Excl.:
frostbite (T33-T35)
T69.0 Immersion hand and foot
Incl.:
Trench foot
T69.1 Chilblains
T69.8 Other specified effects of reduced temperature
T69.9 Effect of reduced temperature, unspecified

T70 Effects of air pressure and water pressure

T70.0 Otitic barotrauma
Incl.:
Aero-otitis media
Effects of change in ambient atmospheric pressure or water pressure on ears
T70.1 Sinus barotrauma
Incl.:
Aerosinusitis
Effects of change in ambient atmospheric pressure on sinuses
T70.2 Other and unspecified effects of high altitude
Incl.:
Alpine sickness
Anoxia due to high altitude
Barotrauma NOS
Hypobaropathy
Mountain sickness
Excl.:
polycythaemia due to high altitude (D75.1)
T70.3 Caisson disease [decompression sickness]
Incl.:
Compressed-air disease
Diver palsy or paralysis
T70.4 Effects of high-pressure fluids
Incl.:
Traumatic jet injection (industrial)
T70.8 Other effects of air pressure and water pressure
Incl.:
Blast injury syndrome
T70.9 Effect of air pressure and water pressure, unspecified

T71 Asphyxiation

Incl.:
Suffocation (by strangulation)
Systemic oxygen deficiency due to:
  • low oxygen content in ambient air
  • mechanical threat to breathing
Excl.:
anoxia due to high altitude (T70.2)
asphyxia from:
  • carbon monoxide (T58)
  • inhalation of food or foreign body (T17.-)
  • other gases, fumes and vapours (T59.-)
respiratory distress:
  • syndrome in adult (J80)
  • in newborn (P22.-)

T73 Effects of other deprivation

T73.0 Effects of hunger
Incl.:
Deprivation of food
Starvation
T73.1 Effects of thirst
Incl.:
Deprivation of water
T73.2 Exhaustion due to exposure
T73.3 Exhaustion due to excessive exertion
Incl.:
Overexertion
T73.8 Other effects of deprivation
T73.9 Effect of deprivation, unspecified

T74 Maltreatment syndromes

Coding-Hint
Use additional code, if desired, to identify current injury.
T74.0 Neglect or abandonment
T74.1 Physical abuse
Incl.:
Battered:
  • baby or child syndrome NOS
  • spouse syndrome NOS
T74.2 Sexual abuse
T74.3 Psychological abuse
T74.8 Other maltreatment syndromes
Incl.:
Mixed forms
T74.9 Maltreatment syndrome, unspecified
Incl.:
Effects of:
  • abuse of adult NOS
  • child abuse NOS

T75 Effects of other external causes

Excl.:
adverse effects NEC (T78.-)
burns (electric) (T20-T31)
T75.0 Effects of lightning
Incl.:
Shock from lightning
Struck by lightning NOS
T75.1 Drowning and nonfatal submersion
Incl.:
Immersion
Swimmer cramp
T75.2 Effects of vibration
Incl.:
Pneumatic hammer syndrome
Traumatic vasospastic syndrome
Vertigo from infrasound
T75.3 Motion sickness
Incl.:
Airsickness
Seasickness
Travel sickness
T75.4 Effects of electric current
Incl.:
Electrocution
Shock from electric current
T75.8 Other specified effects of external causes
Incl.:
Effects of:
  • abnormal gravitation [G] forces
  • weightlessness

T78 Adverse effects, not elsewhere classified

Note:

This category is to be used as the primary code to identify the effects, not elsewhere classifiable, of unknown, undetermined or ill-defined causes. For multiple coding purposes this category may be used as an additional code to identify the effects of conditions classified elsewhere.

Excl.:
complications of surgical and medical care NEC (T80-T88)
T78.0 Anaphylactic shock due to adverse food reaction
T78.1 Other adverse food reactions, not elsewhere classified
Excl.:
bacterial foodborne intoxications (A05.-)
dermatitis due to food (L27.2)
dermatitis due to food
T78.2 Anaphylactic shock, unspecified
Incl.:
  • Allergic shock
  • Anaphylactic reaction
  • Anaphylaxis
  • NOS
Excl.:
anaphylactic shock due to:
  • adverse effect of correct medicinal substance properly administered (T88.6)
  • adverse food reaction (T78.0)
  • serum (T80.5)
T78.3 Angioneurotic oedema
Incl.:
Giant urticaria
Quincke oedema
Excl.:
urticaria (L50.-)
urticaria
T78.4 Allergy, unspecified
Incl.:
Allergic reaction NOS
Hypersensitivity NOS
Idiosyncracy NOS
Excl.:
allergic reaction NOS to correct medicinal substance properly administered (T88.7)
specified types of allergic reaction such as:
T78.8 Other adverse effects, not elsewhere classified
T78.9 Adverse effect, unspecified
Excl.:
adverse effect of surgical and medical care NOS (T88.9)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

T79 Certain early complications of trauma, not elsewhere classified

Excl.:
complications of surgical and medical care NEC (T80-T88)
respiratory distress:
  • syndrome of adult (J80)
  • in newborn (P22.-)
when occurring during or following medical procedures (T80-T88)
T79.0 Air embolism (traumatic)
Excl.:
air embolism complicating:
  • abortion or ectopic or molar pregnancy (O00-O07, O08.2)
  • pregnancy, childbirth and the puerperium (O88.0)
T79.1 Fat embolism (traumatic)
Excl.:
fat embolism complicating:
  • abortion or ectopic or molar pregnancy (O00-O07, O08.2)
  • pregnancy, childbirth and the puerperium (O88.8)
T79.2 Traumatic secondary and recurrent haemorrhage
T79.3 Post-traumatic wound infection, not elsewhere classified
Coding-Hint
Use additional code (B95-B98), if desired, to identify infectious agent.
T79.4 Traumatic shock
Incl.:
Shock (immediate)(delayed) following injury
Excl.:
shock:
  • anaesthetic (T88.2)
  • anaphylactic:
    • NOS (T78.2)
    • due to:
      • adverse food reaction (T78.0)
      • correct medicinal substance properly administered (T88.6)
      • serum (T80.5)
  • complicating abortion or ectopic or molar pregnancy (O00-O07, O08.3)
  • electric (T75.4)
  • lightning (T75.0)
  • nontraumatic NEC (R57.-)
  • obstetric (O75.1)
  • postoperative (T81.1)
T79.5 Traumatic anuria
Incl.:
Crush syndrome
Renal failure following crushing
T79.6 Traumatic ischaemia of muscle
Incl.:
Compartment syndrome
Volkmann ischaemic contracture
Excl.:
anterior tibial syndrome (M76.8)
T79.7 Traumatic subcutaneous emphysema
Excl.:
emphysema (subcutaneous) resulting from a procedure (T81.8)
T79.8 Other early complications of trauma
T79.9 Unspecified early complication of trauma

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Complications of surgical and medical care, not elsewhere classified
(T80-T88)

Coding-Hint
Use additional external cause code (Chapter XX), if desired, to identify devices involved and details of circumstances.
Use additional code (B95-B98), if desired, to identify infectious agent.
Excl.:
adverse effects of drugs and medicaments (A00-R99, T78.-)
any encounters with medical care for postoperative conditions in which no complications are present, such as:
  • artificial opening status (Z93.-)
  • closure of external stoma (Z43.-)
  • fitting and adjustment of external prosthetic device (Z44.-)
burns and corrosions from local applications and irradiation (T20-T32)
complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O99)
poisoning and toxic effects of drugs and chemicals (T36-T65)
specified complications classified elsewhere, such as:
  • cerebrospinal fluid leak from spinal puncture (G97.0)
  • colostomy malfunction (K91.4)
  • disorders of fluid and electrolyte balance (E86-E87)
  • functional disturbances following cardiac surgery (I97.0-I97.1)
  • postgastric surgery syndromes (K91.1)
  • postlaminectomy syndrome NEC (M96.1)
  • postmastectomy lymphoedema syndrome (I97.2)
  • postsurgical blind-loop syndrome (K91.2)

T80 Complications following infusion, transfusion and therapeutic injection

Incl.:
perfusion
Excl.:
bone-marrow transplant rejection (T86.0)
T80.0 Air embolism following infusion, transfusion and therapeutic injection
T80.1 Vascular complications following infusion, transfusion and therapeutic injection
Incl.:
  • Phlebitis
  • Thromboembolism
  • Thrombophlebitis
  • following infusion, transfusion and therapeutic injection
Excl.:
the listed conditions when specified as:
T80.2 Infections following infusion, transfusion and therapeutic injection
Incl.:
  • Infection
  • Sepsis
  • following infusion, transfusion and therapeutic injection
Coding-Hint
Use additional code (R57.2) , if desired, to identify septic shock
Excl.:
hepatitis, post-transfusion (B16-B19)
the listed conditions when specified as:
T80.3 ABO incompatibility reaction
Incl.:
Incompatible blood transfusion
Reaction to blood-group incompatibility in infusion or transfusion
T80.4 Rh incompatibility reaction
Incl.:
Reaction due to Rh factor in infusion or transfusion
T80.5 Anaphylactic shock due to serum
Excl.:
shock:
  • allergic NOS (T78.2)
  • anaphylactic:
    • NOS (T78.2)
    • due to adverse effect of correct medicinal substance properly administered (T88.6)
T80.6 Other serum reactions
Incl.:
Intoxication by serum
Protein sickness
Serum:
  • rash
  • sickness
  • urticaria
Excl.:
serum hepatitis (B16-B19)
T80.8 Other complications following infusion, transfusion and therapeutic injection
T80.9 Unspecified complication following infusion, transfusion and therapeutic injection
Incl.:
Transfusion reaction NOS

T81 Complications of procedures, not elsewhere classified

Excl.:
adverse effect of drug NOS (T88.7)
complication following:
  • immunization (T88.0-T88.1)
  • infusion, transfusion and therapeutic injection (T80.-)
specified complications classified elsewhere, such as:
  • complications of prosthetic devices, implants and grafts (T82-T85)
  • dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1)
  • failure and rejection of transplanted organs and tissues (T86.-)
  • poisoning and toxic effects of drugs and chemicals (T36-T65)
T81.0 Haemorrhage and haematoma complicating a procedure, not elsewhere classified
Incl.:
Haemorrhage at any site resulting from a procedure
Excl.:
haematoma of obstetric wound (O90.2)
haemorrhage due to prosthetic devices, implants and grafts (T82.8, T83.8, T84.8, T85.8)
T81.1 Shock during or resulting from a procedure, not elsewhere classified
Incl.:
  • Collapse NOS
  • Shock (endotoxic)(hypovolaemic)
  • during or following a procedure
Postoperative shock NOS
Coding-Hint
Use additional code (R57.2) , if desired, to identify septic shock
Excl.:
shock:
  • anaesthetic (T88.2)
  • anaphylactic:
    • NOS (T78.2)
    • due to:
      • correct medicinal substance properly administered (T88.6)
      • serum (T80.5)
  • electric (T75.4)
  • following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
  • obstetric (O75.1)
  • traumatic (T79.4)
T81.2 Accidental puncture and laceration during a procedure, not elsewhere classified
Incl.:
  • Accidental perforation of:
    • blood vessel
    • nerve
    • organ
  • by
  • catheter
  • endoscope
  • instrument
  • probe
  • during a procedure
Excl.:
damage from instruments during delivery (O70-O71)
perforation, puncture or laceration caused by device or implant intentionally left in operation wound (T82-T85)
specified complications classified elsewhere, such as broad ligament laceration syndrome [Allen-Masters] (N83.8)
T81.3 Disruption of operation wound, not elsewhere classified
Incl.:
  • Dehiscence
  • Rupture
  • of operation wound
Excl.:
disruption of:
  • caesarean-section wound (O90.0)
  • perineal obstetric wound (O90.1)
T81.4 Infection following a procedure, not elsewhere classified
Incl.:
  • Abscess:
    • intra-abdominal
    • stitch
    • subphrenic
    • wound
  • Sepsis
  • postprocedural
Coding-Hint
Use additional code, if desired, to identify other manifestations of infection, such as sepsis or abscess.
Excl.:
infection due to:
obstetric surgical wound infection (O86.0)
T81.5 Foreign body accidentally left in body cavity or operation wound following a procedure
Incl.:
  • Adhesions
  • Obstruction
  • Perforation
  • due to foreign body accidentally left in operation wound or body cavity
Excl.:
obstruction or perforation due to prosthetic devices and implants intentionally left in body (T82.0-T82.5, T83.0-T83.4, T84.0-T84.4, T85.0-T85.6)
T81.6 Acute reaction to foreign substance accidentally left during a procedure
Incl.:
Peritonitis:
  • aseptic
  • chemical
T81.7 Vascular complications following a procedure, not elsewhere classified
Incl.:
Air embolism following procedure NEC
Excl.:
embolism:
  • complicating:
    • abortion or ectopic or molar pregnancy (O00-O07, O08.2)
    • pregnancy, childbirth and the puerperium (O88.-)
  • due to prosthetic devices, implants and grafts (T82.8, T83.8, T84.8, T85.8)
  • following infusion, transfusion and therapeutic injection (T80.0)
  • traumatic (T79.0)
T81.8 Other complications of procedures, not elsewhere classified
Incl.:
Complication of inhalation therapy
Emphysema (subcutaneous) resulting from a procedure
Persistent postoperative fistula
Excl.:
hypothermia following anaesthesia (T88.5)
malignant hyperthermia due to anaesthesia (T88.3)
T81.9 Unspecified complication of procedure

T82 Complications of cardiac and vascular prosthetic devices, implants and grafts

Excl.:
failure and rejection of transplanted organs and tissues (T86.-)
T82.0 Mechanical complication of heart valve prosthesis
Incl.:
  • Breakdown (mechanical)
  • Displacement
  • Leakage
  • Malposition
  • Obstruction, mechanical
  • Perforation
  • Protrusion
  • due to heart valve prosthesis
T82.1 Mechanical complication of cardiac electronic device
Incl.:
Conditions listed in T82.0 due to:
  • electrodes
  • pulse generator (battery)
T82.2 Mechanical complication of coronary artery bypass and valve grafts
Incl.:
Conditions listed in T82.0 due to coronary artery bypass and valve grafts
T82.3 Mechanical complication of other vascular grafts
Incl.:
Conditions listed in T82.0 due to:
  • aortic (bifurcation) graft (replacement)
  • arterial (carotid) (femoral) graft (bypass)
T82.4 Mechanical complication of vascular dialysis catheter
Incl.:
Conditions listed in T82.0 due to vascular dialysis catheter
Excl.:
mechanical complication of intraperitoneal dialysis catheter (T85.6)
T82.5 Mechanical complication of other cardiac and vascular devices and implants
Incl.:
Conditions listed in T82.0 due to:
  • arteriovenous:
    • fistula, surgically created
    • shunt, surgically created
  • artificial heart
  • balloon (counterpulsation) device
  • infusion catheter
  • umbrella device
Excl.:
mechanical complication of epidural and subdural infusion catheter (T85.6)
T82.6 Infection and inflammatory reaction due to cardiac valve prosthesis
T82.7 Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts
T82.8 Other specified complications of cardiac and vascular prosthetic devices, implants and grafts
Incl.:
  • Embolism
  • Fibrosis
  • Haemorrhage
  • Pain
  • Stenosis
  • Thrombosis
  • due to cardiac and vascular prosthetic devices, implants and grafts
T82.9 Unspecified complication of cardiac and vascular prosthetic device, implant and graft

T83 Complications of genitourinary prosthetic devices, implants and grafts

Excl.:
failure and rejection of transplanted organs and tissues (T86.-)
T83.0 Mechanical complication of urinary (indwelling) catheter
Incl.:
Conditions listed in T82.0 due to:
  • catheter:
    • cystostomy
    • urethral, indwelling
T83.1 Mechanical complication of other urinary devices and implants
Incl.:
Conditions listed in T82.0 due to:
  • urinary:
    • electronic stimulator device
    • sphincter implant
    • stent
T83.2 Mechanical complication of graft of urinary organ
Incl.:
Conditions listed in T82.0 due to graft of urinary organ
T83.3 Mechanical complication of intrauterine contraceptive device
Incl.:
Conditions listed in T82.0 due to intrauterine contraceptive device
T83.4 Mechanical complication of other prosthetic devices, implants and grafts in genital tract
Incl.:
Conditions listed in T82.0 due to (implanted) penile prosthesis
T83.5 Infection and inflammatory reaction due to prosthetic device, implant and graft in urinary system
T83.6 Infection and inflammatory reaction due to prosthetic device, implant and graft in genital tract
T83.8 Other complications of genitourinary prosthetic devices, implants and grafts
Incl.:
Conditions listed in T82.8 due to genitourinary prosthetic devices, implants and grafts
T83.9 Unspecified complication of genitourinary prosthetic device, implant and graft

T84 Complications of internal orthopaedic prosthetic devices, implants and grafts

Excl.:
failure and rejection of transplanted organs and tissues (T86.-)
fracture of bone following insertion of orthopaedic implant, joint prosthesis or bone plate (M96.6)
T84.0 Mechanical complication of internal joint prosthesis
Incl.:
Conditions listed in T82.0 due to joint prosthesis
T84.1 Mechanical complication of internal fixation device of bones of limb
Incl.:
Conditions listed in T82.0 due to internal fixation device of bones of limb
T84.2 Mechanical complication of internal fixation device of other bones
Incl.:
Conditions listed in T82.0 due to internal fixation device of other bones
T84.3 Mechanical complication of other bone devices, implants and grafts
Incl.:
Conditions listed in T82.0 due to:
  • bone graft
  • electronic bone stimulator
T84.4 Mechanical complication of other internal orthopaedic devices, implants and grafts
Incl.:
Conditions listed in T82.0 due to muscle and tendon graft
T84.5 Infection and inflammatory reaction due to internal joint prosthesis
T84.6 Infection and inflammatory reaction due to internal fixation device [any site]
T84.7 Infection and inflammatory reaction due to other internal orthopaedic prosthetic devices, implants and grafts
T84.8 Other complications of internal orthopaedic prosthetic devices, implants and grafts
Incl.:
Conditions listed in T82.8 due to internal orthopaedic prosthetic devices, implants and grafts
T84.9 Unspecified complication of internal orthopaedic prosthetic device, implant and graft

T85 Complications of other internal prosthetic devices, implants and grafts

Excl.:
failure and rejection of transplanted organs and tissues (T86.-)
T85.0 Mechanical complication of ventricular intracranial (communicating) shunt
Incl.:
Conditions listed in T82.0 due to ventricular intracranial (communicating) shunt
T85.1 Mechanical complication of implanted electronic stimulator of nervous system
Incl.:
Conditions listed in T82.0 due to electronic neurostimulator (electrode) of:
  • brain
  • peripheral nerve
  • spinal cord
T85.2 Mechanical complication of intraocular lens
Incl.:
Conditions listed in T82.0 due to intraocular lens
T85.3 Mechanical complication of other ocular prosthetic devices, implants and grafts
Incl.:
Conditions listed in T82.0 due to:
  • corneal graft
  • prosthetic orbit of eye
T85.4 Mechanical complication of breast prosthesis and implant
Incl.:
Conditions listed in T82.0 due to breast prosthesis and implant
T85.5 Mechanical complication of gastrointestinal prosthetic devices, implants and grafts
Incl.:
Conditions listed in T82.0 due to:
  • bile-duct prosthesis
  • oesophageal anti-reflux device
T85.6 Mechanical complication of other specified internal prosthetic devices, implants and grafts
Incl.:
Conditions listed in T82.0 due to:
  • epidural and subdural infusion catheter
  • intraperitoneal dialysis catheter
  • nonabsorbable surgical material NOS
  • permanent sutures
Excl.:
mechanical complication of permanent (wire) suture used in bone repair (T84.1-T84.2)
T85.7 Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts
T85.8 Other complications of internal prosthetic devices, implants and grafts, not elsewhere classified
Incl.:
Conditions listed in T82.8 due to internal prosthetic devices, implants and grafts NEC
T85.9 Unspecified complication of internal prosthetic device, implant and graft
Incl.:
Complication of internal prosthetic device, implant and graft NOS

T86 Failure and rejection of transplanted organs and tissues

T86.0 Bone-marrow transplant rejection
Incl.:
Graft-versus-host reaction or disease
T86.1 Kidney transplant failure and rejection
T86.2 Heart transplant failure and rejection
Excl.:
complication of:
  • artificial heart device (T82.5)
  • heart-lung transplant (T86.3)
T86.3 Heart-lung transplant failure and rejection
T86.4 Liver transplant failure and rejection
T86.8 Failure and rejection of other transplanted organs and tissues
Incl.:
Transplant failure or rejection of:
  • bone
  • intestine
  • lung
  • pancreas
  • skin (allograft) (autograft)
T86.9 Failure and rejection of unspecified transplanted organ and tissue

T87 Complications peculiar to reattachment and amputation

T87.0 Complications of reattached (part of) upper extremity
T87.1 Complications of reattached (part of) lower extremity
T87.2 Complications of other reattached body part
T87.3 Neuroma of amputation stump
T87.4 Infection of amputation stump
T87.5 Necrosis of amputation stump
T87.6 Other and unspecified complications of amputation stump
Incl.:
Amputation stump:
  • contracture (flexion)(of next proximal joint)
  • haematoma
  • oedema
Excl.:
phantom limb syndrome (G54.6-G54.7)

T88 Other complications of surgical and medical care, not elsewhere classified

Excl.:
accidental puncture or laceration during a procedure (T81.2)
complications following:
  • infusion, transfusion and therapeutic injection (T80.-)
  • procedure NEC (T81.-)
specified complications classified elsewhere, such as:
  • complications of:
    • anaesthesia in:
  • devices, implants and grafts (T82-T85)
  • obstetric surgery and procedures (O75.4)
  • dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1)
  • poisoning and toxic effects of drugs and chemicals (T36-T65)
T88.0 Infection following immunization
Incl.:
Sepsis following immunization
T88.1 Other complications following immunization, not elsewhere classified
Incl.:
Rash following immunization
Excl.:
anaphylactic shock due to serum (T80.5)
other serum reactions (T80.6)
postimmunization:
T88.2 Shock due to anaesthesia
Incl.:
Shock due to anaesthesia in which the correct substance was properly administered
Excl.:
complications of anaesthesia (in):
  • from overdose or wrong substance given (T36-T50)
  • labour and delivery (O74.-)
  • pregnancy (O29.-)
  • puerperium (O89.-)
postoperative shock NOS (T81.1)
T88.3 Malignant hyperthermia due to anaesthesia
T88.4 Failed or difficult intubation
T88.5 Other complications of anaesthesia
Incl.:
Hypothermia following anaesthesia
T88.6 Anaphylactic shock due to adverse effect of correct drug or medicament properly administered
Excl.:
anaphylactic shock due to serum (T80.5)
T88.7 Unspecified adverse effect of drug or medicament
Incl.:
  • Adverse effect of
  • Allergic reaction to
  • Hypersensitivity to
  • Idiosyncracy to
  • correct drug or medicament properly administered
Drug:
  • hypersensitivity NOS
  • reaction NOS
Excl.:
specified adverse effects of drugs and medicaments (A00-R99, T80-T88.6, T88.8)
T88.8 Other specified complications of surgical and medical care, not elsewhere classified
T88.9 Complication of surgical and medical care, unspecified
Excl.:
adverse effect NOS (T78.9)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Sequelae of injuries, of poisoning and of other consequences of external causes
(T90-T98)

Note:

Categories T90-T98 are to be used to indicate conditions in S00-S99 and T00-T88 as the cause of late effects, which are themselves classified elsewhere. The "sequelae" include those specified as such, or as late effects, and those present one year or more after the acute injury.

Coding-Hint
Not to be used for chronic poisoning and harmful exposure. Code these to current poisoning and harmful exposure.

T90 Sequelae of injuries of head

T90.0 Sequelae of superficial injury of head
Incl.:
Sequelae of injury classified to S00.-
T90.1 Sequelae of open wound of head
Incl.:
Sequelae of injury classifiable to S01.-
T90.2 Sequelae of fracture of skull and facial bones
Incl.:
Sequelae of injury classifiable to S02.-
T90.3 Sequelae of injury of cranial nerves
Incl.:
Sequelae of injury classifiable to S04.-
T90.4 Sequelae of injury of eye and orbit
Incl.:
Sequelae of injury classifiable to S05.-
T90.5 Sequelae of intracranial injury
Incl.:
Sequelae of injury classifiable to S06.-
T90.8 Sequelae of other specified injuries of head
Incl.:
Sequelae of injury classifiable to S03.-, S07-S08 and S09.0-S09.8
T90.9 Sequelae of unspecified injury of head
Incl.:
Sequelae of injury classifiable to S09.9

T91 Sequelae of injuries of neck and trunk

T91.0 Sequelae of superficial injury and open wound of neck and trunk
Incl.:
Sequelae of injury classifiable to S10-S11, S20-S21, S30-S31 and T09.0-T09.1
T91.1 Sequelae of fracture of spine
Incl.:
Sequelae of injury classifiable to S12.-, S22.0-S22.1, S32.0, S32.7 and T08
T91.2 Sequelae of other fracture of thorax and pelvis
Incl.:
Sequelae of injury classifiable to S22.2-S22.9, S32.1-S32.5 and S32.8
T91.3 Sequelae of injury of spinal cord
Incl.:
Sequelae of injury classifiable to S14.0-S14.1, S24.0-S24.1, S34.0-S34.1 and T09.3
T91.4 Sequelae of injury of intrathoracic organs
Incl.:
Sequelae of injury classifiable to S26-S27
T91.5 Sequelae of injury of intra-abdominal and pelvic organs
Incl.:
Sequelae of injury classifiable to S36-S37
T91.8 Sequelae of other specified injuries of neck and trunk
Incl.:
Sequelae of injury classifiable to S13.-, S14.2-S14.6, S15-S18, S19.7-S19.8, S23.-, S24.2-S24.6, S25.-, S28.-, S29.0-S29.8, S33.-, S34.2-S34.8, S35.-, S38.-, S39.0-S39.8, T09.2 and T09.4 -T09.8
T91.9 Sequelae of unspecified injury of neck and trunk
Incl.:
Sequelae of injury classifiable to S19.9, S29.9, S39.9 and T09.9

T92 Sequelae of injuries of upper limb

T92.0 Sequelae of open wound of upper limb
Incl.:
Sequelae of injury classifiable to S41.-, S51.-, S61.- and T11.1
T92.1 Sequelae of fracture of arm
Incl.:
Sequelae of injury classifiable to S42.-, S52.- and T10
T92.2 Sequelae of fracture at wrist and hand level
Incl.:
Sequelae of injury classifiable to S62.-
T92.3 Sequelae of dislocation, sprain and strain of upper limb
Incl.:
Sequelae of injury classifiable to S43.-, S53.-, S63.- and T11.2
T92.4 Sequelae of injury of nerve of upper limb
Incl.:
Sequelae of injury classifiable to S44.-, S54.-, S64.- and T11.3
T92.5 Sequelae of injury of muscle and tendon of upper limb
Incl.:
Sequelae of injury classifiable to S46.-, S56.-, S66.- and T11.5
T92.6 Sequelae of crushing injury and traumatic amputation of upper limb
Incl.:
Sequelae of injury classifiable to S47-S48, S57-S58, S67-S68 and T11.6
T92.8 Sequelae of other specified injuries of upper limb
Incl.:
Sequelae of injury classifiable to S40.-, S45.-, S49.7-S49.8, S50.-,S55.-, S59.7-S59.8, S60.-, S65.-, S69.7-S69.8, T11.0, T11.4 and T11.8
T92.9 Sequelae of unspecified injury of upper limb
Incl.:
Sequelae of injury classifiable to S49.9, S59.9, S69.9 and T11.9

T93 Sequelae of injuries of lower limb

T93.0 Sequelae of open wound of lower limb
Incl.:
Sequelae of injury classifiable to S71.-, S81.-, S91.- and T13.1
T93.1 Sequelae of fracture of femur
Incl.:
Sequelae of injury classifiable to S72.-
T93.2 Sequelae of other fractures of lower limb
Incl.:
Sequelae of injury classifiable to S82.-, S92.- and T12
T93.3 Sequelae of dislocation, sprain and strain of lower limb
Incl.:
Sequelae of injury classifiable to S73.-, S83.-, S93.- and T13.2
T93.4 Sequelae of injury of nerve of lower limb
Incl.:
Sequelae of injury classifiable to S74.-, S84.-, S94.- and T13.3
T93.5 Sequelae of injury of muscle and tendon of lower limb
Incl.:
Sequelae of injury classifiable to S76.-, S86.-, S96.- and T13.5
T93.6 Sequelae of crushing injury and traumatic amputation of lower limb
Incl.:
Sequelae of injury classifiable to S77-S78, S87-S88, S97-S98 and T13.6
T93.8 Sequelae of other specified injuries of lower limb
Incl.:
Sequelae of injury classifiable to S70.-, S75.-, S79.7-S79.8, S80.-, S85.-, S89.7-S89.8, S90.-, S95.-, S99.7-S99.8, T13.0, T13.4 and T13.8
T93.9 Sequelae of unspecified injury of lower limb
Incl.:
Sequelae of injury classifiable to S79.9, S89.9, S99.9 and T13.9

T94 Sequelae of injuries involving multiple and unspecified body regions

T94.0 Sequelae of injuries involving multiple body regions
Incl.:
Sequelae of injury classifiable to T00-T07
T94.1 Sequelae of injuries, not specified by body region
Incl.:
Sequelae of injury classifiable to T14.-

T95 Sequelae of burns, corrosions and frostbite

T95.0 Sequelae of burn, corrosion and frostbite of head and neck
Incl.:
Sequelae of injury classifiable to T20.-, T33.0-T33.1, T34.0-T34.1 and T35.2
T95.1 Sequelae of burn, corrosion and frostbite of trunk
Incl.:
Sequelae of injury classifiable to T21.-, T33.2-T33.3, T34.2-T34.3 and T35.3
T95.2 Sequelae of burn, corrosion and frostbite of upper limb
Incl.:
Sequelae of injury classifiable to T22-T23, T33.4-T33.5, T34.4-T34.5 and T35.4
T95.3 Sequelae of burn, corrosion and frostbite of lower limb
Incl.:
Sequelae of injury classifiable to T24-T25, T33.6-T33.8, T34.6-T34.8 and T35.5
T95.4 Sequelae of burn and corrosion classifiable only according to extent of body surface involved
Incl.:
Sequelae of injury classifiable to T31-T32
T95.8 Sequelae of other specified burn, corrosion and frostbite
Incl.:
Sequelae of injury classifiable T26-T29, T35.0-T35.1 and T35.6
T95.9 Sequelae of unspecified burn, corrosion and frostbite
Incl.:
Sequelae of injury classifiable to T30.-, T33.9, T34.9 and T35.7

T96 Sequelae of poisoning by drugs, medicaments and biological substances

Incl.:
Sequelae of poisoning classifiable to T36-T50

T97 Sequelae of toxic effects of substances chiefly nonmedicinal as to source

Incl.:
Sequelae of toxic effects classifiable to T51-T65

T98 Sequelae of other and unspecified effects of external causes

T98.0 Sequelae of effects of foreign body entering through natural orifice
Incl.:
Sequelae of effects classifiable to T15-T19
T98.1 Sequelae of other and unspecified effects of external causes
Incl.:
Sequelae of effects classifiable to T66-T78
T98.2 Sequelae of certain early complications of trauma
Incl.:
Sequelae of complications classifiable to T79.-
T98.3 Sequelae of complications of surgical and medical care, not elsewhere classified
Incl.:
Sequelae of complications classifiable to T80-T88

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XXII
Codes for special purposes
(U00-U85)

U04 Severe acute respiratory syndrome [SARS]

U04.9 Severe acute respiratory syndrome [SARS], unspecified

U06 Zika virus disease

Note:

Codes U00-U49 are to be used by WHO for the provisional assignment of new diseases of uncertain etiology. In emergency situations codes are not always accessible in electronic systems. The specification of category U06 in the way it is done here will make sure this category and the subcategories are available in every electronic system at any time and that they can be used upon instruction by WHO, immediately.

U06.0 Emergency use of U06.0
U06.1 Emergency use of U06.1
U06.2 Emergency use of U06.2
U06.3 Emergency use of U06.3
U06.4 Emergency use of U06.4
U06.5 Emergency use of U06.5
U06.6 Emergency use of U06.6
U06.7 Emergency use of U06.7
U06.8 Emergency use of U06.8
U06.9 Zika virus disease, unspecified

U07 Emergency use of U07

Note:

Codes U00-U49 are to be used by WHO for the provisional assignment of new diseases of uncertain etiology. In emergency situations codes are not always accessible in electronic systems. The specification of category U07 in the way it is done here will make sure this category and the subcategories are available in every electronic system at any time and that they can be used upon instruction by WHO, immediately.

U07.0 Emergency use of U07.0
U07.1 Emergency use of U07.1
U07.2 Emergency use of U07.2
U07.3 Emergency use of U07.3
U07.4 Emergency use of U07.4
U07.5 Emergency use of U07.5
U07.6 Emergency use of U07.6
U07.7 Emergency use of U07.7
U07.8 Emergency use of U07.8
U07.9 Emergency use of U07.9

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XXII
Codes for special purposes
(U00-U85)

Resistance to antimicrobial and antineoplastic drugs
(U82-U85)

Note:

These categories should never be used in primary coding. The codes are provided for use as supplementary or additional codes when it is desired to identify the resistance, non-responsiveness and refractive properties of a condition to antimicrobials and antineoplastic drugs.

U82 Resistance to betalactam antibiotics

Coding-Hint
Use additional code (B95-B98), if desired, to identify agents resistant to betalactam antibiotic treatment.
U82.0 Resistance to penicillin
Incl.:
Resistance to:
  • Amoxicillin
  • Ampicillin
U82.1 Resistance to methicillin
Incl.:
Resistance to:
  • Cloxacillin
  • Flucloxacillin
  • Oxacillin
U82.2 Extended spectrum betalactamase (ESBL) resistance
U82.8 Resistance to other betalactam antibiotics
U82.9 Resistance to betalactam antibiotics, unspecified

U83 Resistance to other antibiotics

Coding-Hint
Use additional code (B95-B98), if desired, to identify agents resistant to other antibiotic treatment
U83.0 Resistance to vancomycin
U83.1 Resistance to other vancomycin related antibiotics
U83.2 Resistance to quinolones
U83.7 Resistance to multiple antibiotics
U83.8 Resistance to other single specified antibiotic
U83.9 Resistance to unspecified antibiotic
Incl.:
Resistance to antibiotics NOS

U84 Resistance to other antimicrobial drugs

Coding-Hint
Use additional code (B95-B98), if desired, to identify agents resistant to other antibiotic treatment.
Excl.:
Resistance to antibiotics (U82-U83)
U84.0 Resistance to antiparasitic drug(s)
Incl.:
Resistance to quinine and related compounds
U84.1 Resistance to antifungal drug(s)
U84.2 Resistance to antiviral drug(s)
U84.3 Resistance to tuberculostatic drug(s)
U84.7 Resistance to multiple antimicrobial drugs
Excl.:
Resistance to multiple antibiotics only (U83.7)
U84.8 Resistance to other specified antimicrobial drug
U84.9 Resistance to unspecified antimicrobial drugs
Incl.:
Drug resistance NOS

U85 Resistance to antineoplastic drugs

Incl.:
Non-responsiveness to antineoplastic drugs
Refractory cancer

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter V
Mental and behavioural disorders
(F00-F99)

Incl.:
disorders of psychological development
Excl.:
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
This chapter contains the following blocks:
  • F00-F09 Organic, including symptomatic, mental disorders
  • F10-F19 Mental and behavioural disorders due to psychoactive substance use
  • F20-F29 Schizophrenia, schizotypal and delusional disorders
  • F30-F39 Mood [affective] disorders
  • F40-F48 Neurotic, stress-related and somatoform disorders
  • F50-F59 Behavioural syndromes associated with physiological disturbances and physical factors
  • F60-F69 Disorders of adult personality and behaviour
  • F70-F79 Mental retardation
  • F80-F89 Disorders of psychological development
  • F90-F98 Behavioural and emotional disorders with onset usually occurring in childhood and adolescence
  • F99-F99 Unspecified mental disorder
Asterisk categories for this chapter are provided as follows:
  • F00* Dementia in Alzheimer disease
  • F02* Dementia in other diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Transport accidents
(V01-V99)

Note:

This section is structured in 12 groups. Those relating to land transport accidents (V01-V89) reflect the victim's mode of transport and are subdivided to identify the victim's "counterpart" or the type of event. The vehicle of which the injured person is an occupant is identified in the first two characters since it is seen as the most important factor to identify for prevention purposes.

Excl.:
accidents to persons engaged in the maintenance or repair of transport equipment or vehicle (not in motion) unless injured by another vehicle in motion (W00-X59)
accidents involving vehicles, but unrelated to the hazards associated with the means of transportation, e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm; finger crushed when shutting car door (W00-X59)
assault by crashing of motor vehicle (Y03)
event of undetermined intent (Y31-Y33)
intentional self-harm (X81-X83)
Introduction

Definitions related to transport accidents

(a)  A transport accident (V01–V99) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

(b)  A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic.

(c)  A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is assumed to have occurred on the public highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated.

(d)  A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway.

(e)  A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal.

Incl.:  person:

  • making adjustment to motor of vehicle

  • changing tyre of vehicle

  • on foot

user of a pedestrian conveyance such as:

  • baby carriage

  • ice-skates

  • perambulator

  • push-cart

  • push-chair

  • roller-skates

  • scooter

  • skateboard

  • skis

  • sled

  • wheelchair (powered)

(f)  A driver is an occupant of a transport vehicle who is operating or intending to operate it.

(g)  A passenger is any occupant of a transport vehicle other than the driver.

Excl.:  person travelling on outside of vehicle – see definition (h)

(h)  A person on outside of vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property.

Incl.:  person (travelling on):

  • bodywork

  • bumper [fender]

  • hanging on outside

  • roof (rack)

  • running-board

  • step

(i)  A pedal cycle is any land transport vehicle operated solely by pedals.

Incl.:  bicycle

tricycle

Excl.:  motorized bicycle – see definition (k)

(j)  A pedal cyclist is any person riding on a pedal cycle or in a sidecar or trailer attached to such a vehicle.

(k)  A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes with a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Incl.:  moped

motor scooter

motorcycle:

  • NOS

  • combination

  • with sidecar

motorized bicycle

speed-limited motor-driven cycle

Excl.:  motor-driven tricycle – see definition (m)

(l)  A motorcycle rider is any person riding on a motorcycle or in a sidecar or trailer attached to such a vehicle.

(m)  A three-wheeled motor vehicle is a motorized tricycle designed primarily for on- road use.

Incl.:  motor-driven tricycle

motorized rickshaw

three-wheeled motor car

Excl.:  motorcycle with sidecar – see definition (k)

special all-terrain vehicle – see definition (x)

(n)  A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 10 persons. A trailer or caravan being towed by a car is considered a part of the car.

Incl.:  minibus

(o)  A motor vehicle or vehicle may refer to various transport vehicles. The local usage of the terms should be established to determine the appropriate code. If the terms are used ambiguously, use the code for “unspecified”. A trailer or caravan being towed by a vehicle is considered a part of the vehicle.

(p)  A pick-up truck or van is a four- or six-wheeled motor vehicle designed primarily for carrying property, weighing less than the local limit for classification as a heavy goods vehicle, and not requiring a special driver’s licence.

(q)  A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of kerbside weight (usually above 3500 kg), and requiring a special driver’s licence.

(r)  A bus is a motor vehicle designed or adapted primarily for carrying more than 10 persons, and requiring a special driver’s licence.

Incl.:  coach

(s)  A railway train or railway vehicle is any device, with or without cars coupled to it, designed for traffic on a railway.

Incl.:  interurban:

  • electric car (operated chiefly on its own right-of-way, not open to other traffic)

  • street car (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel] [electric] [steam]:

  • funicular

  • monorail or two-rail

  • subterranean or elevated

other vehicle designed to run on a railway track

Excl.:  interurban electric cars [streetcars] specified to be operating on a right-of- way that forms part of the public street or highway – see definition (t)

(t)  A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the roadway. A trailer being towed by a streetcar is considered a part of the streetcar.

Incl.:  interurban electric car or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(u)  A special vehicle mainly used on industrial premises is a motor vehicle designed primarily for use within the buildings and premises of industrial or commercial establishments.

Incl.:  battery-powered:

  • airport passenger vehicle

  • truck (baggage)(mail)

coal-car in mine

forklift (truck)

logging car

self-propelled truck, industrial

station baggage truck (powered)

tram, truck or tub (powered) in mine or quarry

(v)  A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use in farming and agriculture (horticulture), for example to work the land, tend and harvest crops and transport materials on the farm.

Incl.:  combine harvester

self-propelled farm machinery

tractor (and trailer)

(w)  A special construction vehicle is a motor vehicle designed specifically for use in the construction (and demolition) of roads, buildings and other structures.

Incl.:  bulldozer

digger

dumper truck

earth-leveller

mechanical shovel

road-roller

(x)  A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tyres, tracks, and support on a cushion of air.

Incl.:  hovercraft on land or swamp

snowmobile

Excl.:  hovercraft on open water – see definition (y)

(y)  A watercraft is any device for transporting passengers or goods on water.

Incl.:  hovercraft NOS

(z)  An aircraft is any device for transporting passengers or goods in the air.

Classification and coding instructions for transport accidents

1.  If an event is unspecified as to whether it was a traffic or a nontraffic accident, it is assumed to be:

  1. A traffic accident when the event is classifiable to categories V10–V82 and V87.

  2. A nontraffic accident when the event is classifiable to categories V83–V86. For these categories the victim is either a pedestrian, or an occupant of a vehicle designed primarily for off-road use.

2.  When accidents involving more than one kind of transport are reported, the following order of precedence should be used:

aircraft and spacecraft (V95–V97)

watercraft (V90–V94)

other modes of transport (V01–V89, V98–V99)

3.  Where transport accident descriptions do not specify the victim as being a vehicle occupant and the victim is described as:

crushed

dragged

hit

injured

killed

knocked down

run over

by any vehicle including

animal being ridden

animal-drawn vehicle

bicycle

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

streetcar

tractor

train

tram

truck

van

classify the victim as a pedestrian (categories V01–V09).

4.  Where transport accident descriptions do not indicate the victim’s role, such as:

airplane

bicycle

boat

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

spacecraft

streetcar

tractor

train

tram

truck

van

watercraft

accident

collision

crash

wreck

NOS

classify the victim as an occupant or rider of the vehicle mentioned.

If more than one vehicle is mentioned, do not make any assumption as to which vehicle was occupied by the victim unless the vehicles are the same. Instead, code to the appropriate categories V87–V88, V90–V94, V95–V97, taking into account the order of precedence given in note 2 above.

5.  Where a transport accident, such as:

vehicle (motor)(nonmotor):

  • failing to make curve

  • going out of control (due to):

    • burst tyre [blowout]

    • driver falling asleep

    • driver inattention

    • excessive speed

    • failure of mechanical part

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

6.  Where a transport accident involving a vehicle in motion, such as:

accidental poisoning from exhaust gas generated by

breakage of any part of

explosion of any part of

fall, jump or being accidentally pushed from or restarting in

hit by object thrown into or onto

injured by being thrown against some part of, or object in

injury from moving part of

object falling in or on

vehicle in motion

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

7.  Land transport accidents described as:

collision (due to loss of control)(on highway) between vehicle and:

  • abutment(bridge)(overpass)

  • fallen stone

  • guard rail or boundary fence

  • inter-highway divider

  • landslide (not moving)

  • object thrown in front of motor vehicle

  • safety island

  • tree

  • traffic sign or marker (temporary)

  • utility pole

  • wall of cut made for road

  • other object, fixed, movable or moving

are included in V17, V27, V37, V47, V57, V67 and V77

overturning (without collision) are included in V18, V28, V38, V48, V58, V68, and V78

collision with animal (herded)(unattended) are included in V10, V20, V30, V40, V50, V60 and V70

collision with animal-drawn vehicle or animal being ridden are included in V16, V26, V36, V46, V56, V66 and V76.

Pedestrian injured in transport accident
(V01-V09)

Excl.:
collision of pedestrian (conveyance) with other pedestrian (conveyance) (W51)
collision of pedestrian (conveyance) with other pedestrian (conveyance)
  • with subsequent fall (W03)
Modifiers

The following fourth-character subdivisions are for use with categories V01-V06:

Code Title
.0
Nontraffic accident
.1
Traffic accident
.9
Unspecified whether traffic or nontraffic accident

V01 Pedestrian injured in collision with pedal cycle

V02 Pedestrian injured in collision with two- or three-wheeled motor vehicle

V03 Pedestrian injured in collision with car, pick-up truck or van

V04 Pedestrian injured in collision with heavy transport vehicle or bus

V05 Pedestrian injured in collision with railway train or railway vehicle

V06 Pedestrian injured in collision with other nonmotor vehicle

Incl.:
collision with animal-drawn vehicle, animal being ridden, streetcar

V09 Pedestrian injured in other and unspecified transport accidents

Incl.:
pedestrian injured by special vehicle
V09.0 Pedestrian injured in nontraffic accident involving other and unspecified motor vehicles
V09.1 Pedestrian injured in unspecified nontraffic accident
V09.2 Pedestrian injured in traffic accident involving other and unspecified motor vehicles
V09.3 Pedestrian injured in unspecified traffic accident
V09.9 Pedestrian injured in unspecified transport accident

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Transport accidents
(V01-V99)

Note:

This section is structured in 12 groups. Those relating to land transport accidents (V01-V89) reflect the victim's mode of transport and are subdivided to identify the victim's "counterpart" or the type of event. The vehicle of which the injured person is an occupant is identified in the first two characters since it is seen as the most important factor to identify for prevention purposes.

Excl.:
accidents to persons engaged in the maintenance or repair of transport equipment or vehicle (not in motion) unless injured by another vehicle in motion (W00-X59)
accidents involving vehicles, but unrelated to the hazards associated with the means of transportation, e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm; finger crushed when shutting car door (W00-X59)
assault by crashing of motor vehicle (Y03)
event of undetermined intent (Y31-Y33)
intentional self-harm (X81-X83)
Introduction

Definitions related to transport accidents

(a)  A transport accident (V01–V99) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

(b)  A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic.

(c)  A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is assumed to have occurred on the public highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated.

(d)  A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway.

(e)  A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal.

Incl.:  person:

  • making adjustment to motor of vehicle

  • changing tyre of vehicle

  • on foot

user of a pedestrian conveyance such as:

  • baby carriage

  • ice-skates

  • perambulator

  • push-cart

  • push-chair

  • roller-skates

  • scooter

  • skateboard

  • skis

  • sled

  • wheelchair (powered)

(f)  A driver is an occupant of a transport vehicle who is operating or intending to operate it.

(g)  A passenger is any occupant of a transport vehicle other than the driver.

Excl.:  person travelling on outside of vehicle – see definition (h)

(h)  A person on outside of vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property.

Incl.:  person (travelling on):

  • bodywork

  • bumper [fender]

  • hanging on outside

  • roof (rack)

  • running-board

  • step

(i)  A pedal cycle is any land transport vehicle operated solely by pedals.

Incl.:  bicycle

tricycle

Excl.:  motorized bicycle – see definition (k)

(j)  A pedal cyclist is any person riding on a pedal cycle or in a sidecar or trailer attached to such a vehicle.

(k)  A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes with a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Incl.:  moped

motor scooter

motorcycle:

  • NOS

  • combination

  • with sidecar

motorized bicycle

speed-limited motor-driven cycle

Excl.:  motor-driven tricycle – see definition (m)

(l)  A motorcycle rider is any person riding on a motorcycle or in a sidecar or trailer attached to such a vehicle.

(m)  A three-wheeled motor vehicle is a motorized tricycle designed primarily for on- road use.

Incl.:  motor-driven tricycle

motorized rickshaw

three-wheeled motor car

Excl.:  motorcycle with sidecar – see definition (k)

special all-terrain vehicle – see definition (x)

(n)  A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 10 persons. A trailer or caravan being towed by a car is considered a part of the car.

Incl.:  minibus

(o)  A motor vehicle or vehicle may refer to various transport vehicles. The local usage of the terms should be established to determine the appropriate code. If the terms are used ambiguously, use the code for “unspecified”. A trailer or caravan being towed by a vehicle is considered a part of the vehicle.

(p)  A pick-up truck or van is a four- or six-wheeled motor vehicle designed primarily for carrying property, weighing less than the local limit for classification as a heavy goods vehicle, and not requiring a special driver’s licence.

(q)  A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of kerbside weight (usually above 3500 kg), and requiring a special driver’s licence.

(r)  A bus is a motor vehicle designed or adapted primarily for carrying more than 10 persons, and requiring a special driver’s licence.

Incl.:  coach

(s)  A railway train or railway vehicle is any device, with or without cars coupled to it, designed for traffic on a railway.

Incl.:  interurban:

  • electric car (operated chiefly on its own right-of-way, not open to other traffic)

  • street car (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel] [electric] [steam]:

  • funicular

  • monorail or two-rail

  • subterranean or elevated

other vehicle designed to run on a railway track

Excl.:  interurban electric cars [streetcars] specified to be operating on a right-of- way that forms part of the public street or highway – see definition (t)

(t)  A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the roadway. A trailer being towed by a streetcar is considered a part of the streetcar.

Incl.:  interurban electric car or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(u)  A special vehicle mainly used on industrial premises is a motor vehicle designed primarily for use within the buildings and premises of industrial or commercial establishments.

Incl.:  battery-powered:

  • airport passenger vehicle

  • truck (baggage)(mail)

coal-car in mine

forklift (truck)

logging car

self-propelled truck, industrial

station baggage truck (powered)

tram, truck or tub (powered) in mine or quarry

(v)  A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use in farming and agriculture (horticulture), for example to work the land, tend and harvest crops and transport materials on the farm.

Incl.:  combine harvester

self-propelled farm machinery

tractor (and trailer)

(w)  A special construction vehicle is a motor vehicle designed specifically for use in the construction (and demolition) of roads, buildings and other structures.

Incl.:  bulldozer

digger

dumper truck

earth-leveller

mechanical shovel

road-roller

(x)  A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tyres, tracks, and support on a cushion of air.

Incl.:  hovercraft on land or swamp

snowmobile

Excl.:  hovercraft on open water – see definition (y)

(y)  A watercraft is any device for transporting passengers or goods on water.

Incl.:  hovercraft NOS

(z)  An aircraft is any device for transporting passengers or goods in the air.

Classification and coding instructions for transport accidents

1.  If an event is unspecified as to whether it was a traffic or a nontraffic accident, it is assumed to be:

  1. A traffic accident when the event is classifiable to categories V10–V82 and V87.

  2. A nontraffic accident when the event is classifiable to categories V83–V86. For these categories the victim is either a pedestrian, or an occupant of a vehicle designed primarily for off-road use.

2.  When accidents involving more than one kind of transport are reported, the following order of precedence should be used:

aircraft and spacecraft (V95–V97)

watercraft (V90–V94)

other modes of transport (V01–V89, V98–V99)

3.  Where transport accident descriptions do not specify the victim as being a vehicle occupant and the victim is described as:

crushed

dragged

hit

injured

killed

knocked down

run over

by any vehicle including

animal being ridden

animal-drawn vehicle

bicycle

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

streetcar

tractor

train

tram

truck

van

classify the victim as a pedestrian (categories V01–V09).

4.  Where transport accident descriptions do not indicate the victim’s role, such as:

airplane

bicycle

boat

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

spacecraft

streetcar

tractor

train

tram

truck

van

watercraft

accident

collision

crash

wreck

NOS

classify the victim as an occupant or rider of the vehicle mentioned.

If more than one vehicle is mentioned, do not make any assumption as to which vehicle was occupied by the victim unless the vehicles are the same. Instead, code to the appropriate categories V87–V88, V90–V94, V95–V97, taking into account the order of precedence given in note 2 above.

5.  Where a transport accident, such as:

vehicle (motor)(nonmotor):

  • failing to make curve

  • going out of control (due to):

    • burst tyre [blowout]

    • driver falling asleep

    • driver inattention

    • excessive speed

    • failure of mechanical part

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

6.  Where a transport accident involving a vehicle in motion, such as:

accidental poisoning from exhaust gas generated by

breakage of any part of

explosion of any part of

fall, jump or being accidentally pushed from or restarting in

hit by object thrown into or onto

injured by being thrown against some part of, or object in

injury from moving part of

object falling in or on

vehicle in motion

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

7.  Land transport accidents described as:

collision (due to loss of control)(on highway) between vehicle and:

  • abutment(bridge)(overpass)

  • fallen stone

  • guard rail or boundary fence

  • inter-highway divider

  • landslide (not moving)

  • object thrown in front of motor vehicle

  • safety island

  • tree

  • traffic sign or marker (temporary)

  • utility pole

  • wall of cut made for road

  • other object, fixed, movable or moving

are included in V17, V27, V37, V47, V57, V67 and V77

overturning (without collision) are included in V18, V28, V38, V48, V58, V68, and V78

collision with animal (herded)(unattended) are included in V10, V20, V30, V40, V50, V60 and V70

collision with animal-drawn vehicle or animal being ridden are included in V16, V26, V36, V46, V56, V66 and V76.

Pedestrian injured in transport accident
(V01-V09)

Excl.:
collision of pedestrian (conveyance) with other pedestrian (conveyance) (W51)
collision of pedestrian (conveyance) with other pedestrian (conveyance)
  • with subsequent fall (W03)
Modifiers

The following fourth-character subdivisions are for use with categories V01-V06:

Code Title
.0
Nontraffic accident
.1
Traffic accident
.9
Unspecified whether traffic or nontraffic accident

V01 Pedestrian injured in collision with pedal cycle

V02 Pedestrian injured in collision with two- or three-wheeled motor vehicle

V03 Pedestrian injured in collision with car, pick-up truck or van

V04 Pedestrian injured in collision with heavy transport vehicle or bus

V05 Pedestrian injured in collision with railway train or railway vehicle

V06 Pedestrian injured in collision with other nonmotor vehicle

Incl.:
collision with animal-drawn vehicle, animal being ridden, streetcar

V09 Pedestrian injured in other and unspecified transport accidents

Incl.:
pedestrian injured by special vehicle
V09.0 Pedestrian injured in nontraffic accident involving other and unspecified motor vehicles
V09.1 Pedestrian injured in unspecified nontraffic accident
V09.2 Pedestrian injured in traffic accident involving other and unspecified motor vehicles
V09.3 Pedestrian injured in unspecified traffic accident
V09.9 Pedestrian injured in unspecified transport accident

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Transport accidents
(V01-V99)

Note:

This section is structured in 12 groups. Those relating to land transport accidents (V01-V89) reflect the victim's mode of transport and are subdivided to identify the victim's "counterpart" or the type of event. The vehicle of which the injured person is an occupant is identified in the first two characters since it is seen as the most important factor to identify for prevention purposes.

Excl.:
accidents to persons engaged in the maintenance or repair of transport equipment or vehicle (not in motion) unless injured by another vehicle in motion (W00-X59)
accidents involving vehicles, but unrelated to the hazards associated with the means of transportation, e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm; finger crushed when shutting car door (W00-X59)
assault by crashing of motor vehicle (Y03)
event of undetermined intent (Y31-Y33)
intentional self-harm (X81-X83)
Introduction

Definitions related to transport accidents

(a)  A transport accident (V01–V99) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

(b)  A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic.

(c)  A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is assumed to have occurred on the public highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated.

(d)  A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway.

(e)  A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal.

Incl.:  person:

  • making adjustment to motor of vehicle

  • changing tyre of vehicle

  • on foot

user of a pedestrian conveyance such as:

  • baby carriage

  • ice-skates

  • perambulator

  • push-cart

  • push-chair

  • roller-skates

  • scooter

  • skateboard

  • skis

  • sled

  • wheelchair (powered)

(f)  A driver is an occupant of a transport vehicle who is operating or intending to operate it.

(g)  A passenger is any occupant of a transport vehicle other than the driver.

Excl.:  person travelling on outside of vehicle – see definition (h)

(h)  A person on outside of vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property.

Incl.:  person (travelling on):

  • bodywork

  • bumper [fender]

  • hanging on outside

  • roof (rack)

  • running-board

  • step

(i)  A pedal cycle is any land transport vehicle operated solely by pedals.

Incl.:  bicycle

tricycle

Excl.:  motorized bicycle – see definition (k)

(j)  A pedal cyclist is any person riding on a pedal cycle or in a sidecar or trailer attached to such a vehicle.

(k)  A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes with a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Incl.:  moped

motor scooter

motorcycle:

  • NOS

  • combination

  • with sidecar

motorized bicycle

speed-limited motor-driven cycle

Excl.:  motor-driven tricycle – see definition (m)

(l)  A motorcycle rider is any person riding on a motorcycle or in a sidecar or trailer attached to such a vehicle.

(m)  A three-wheeled motor vehicle is a motorized tricycle designed primarily for on- road use.

Incl.:  motor-driven tricycle

motorized rickshaw

three-wheeled motor car

Excl.:  motorcycle with sidecar – see definition (k)

special all-terrain vehicle – see definition (x)

(n)  A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 10 persons. A trailer or caravan being towed by a car is considered a part of the car.

Incl.:  minibus

(o)  A motor vehicle or vehicle may refer to various transport vehicles. The local usage of the terms should be established to determine the appropriate code. If the terms are used ambiguously, use the code for “unspecified”. A trailer or caravan being towed by a vehicle is considered a part of the vehicle.

(p)  A pick-up truck or van is a four- or six-wheeled motor vehicle designed primarily for carrying property, weighing less than the local limit for classification as a heavy goods vehicle, and not requiring a special driver’s licence.

(q)  A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of kerbside weight (usually above 3500 kg), and requiring a special driver’s licence.

(r)  A bus is a motor vehicle designed or adapted primarily for carrying more than 10 persons, and requiring a special driver’s licence.

Incl.:  coach

(s)  A railway train or railway vehicle is any device, with or without cars coupled to it, designed for traffic on a railway.

Incl.:  interurban:

  • electric car (operated chiefly on its own right-of-way, not open to other traffic)

  • street car (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel] [electric] [steam]:

  • funicular

  • monorail or two-rail

  • subterranean or elevated

other vehicle designed to run on a railway track

Excl.:  interurban electric cars [streetcars] specified to be operating on a right-of- way that forms part of the public street or highway – see definition (t)

(t)  A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the roadway. A trailer being towed by a streetcar is considered a part of the streetcar.

Incl.:  interurban electric car or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(u)  A special vehicle mainly used on industrial premises is a motor vehicle designed primarily for use within the buildings and premises of industrial or commercial establishments.

Incl.:  battery-powered:

  • airport passenger vehicle

  • truck (baggage)(mail)

coal-car in mine

forklift (truck)

logging car

self-propelled truck, industrial

station baggage truck (powered)

tram, truck or tub (powered) in mine or quarry

(v)  A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use in farming and agriculture (horticulture), for example to work the land, tend and harvest crops and transport materials on the farm.

Incl.:  combine harvester

self-propelled farm machinery

tractor (and trailer)

(w)  A special construction vehicle is a motor vehicle designed specifically for use in the construction (and demolition) of roads, buildings and other structures.

Incl.:  bulldozer

digger

dumper truck

earth-leveller

mechanical shovel

road-roller

(x)  A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tyres, tracks, and support on a cushion of air.

Incl.:  hovercraft on land or swamp

snowmobile

Excl.:  hovercraft on open water – see definition (y)

(y)  A watercraft is any device for transporting passengers or goods on water.

Incl.:  hovercraft NOS

(z)  An aircraft is any device for transporting passengers or goods in the air.

Classification and coding instructions for transport accidents

1.  If an event is unspecified as to whether it was a traffic or a nontraffic accident, it is assumed to be:

  1. A traffic accident when the event is classifiable to categories V10–V82 and V87.

  2. A nontraffic accident when the event is classifiable to categories V83–V86. For these categories the victim is either a pedestrian, or an occupant of a vehicle designed primarily for off-road use.

2.  When accidents involving more than one kind of transport are reported, the following order of precedence should be used:

aircraft and spacecraft (V95–V97)

watercraft (V90–V94)

other modes of transport (V01–V89, V98–V99)

3.  Where transport accident descriptions do not specify the victim as being a vehicle occupant and the victim is described as:

crushed

dragged

hit

injured

killed

knocked down

run over

by any vehicle including

animal being ridden

animal-drawn vehicle

bicycle

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

streetcar

tractor

train

tram

truck

van

classify the victim as a pedestrian (categories V01–V09).

4.  Where transport accident descriptions do not indicate the victim’s role, such as:

airplane

bicycle

boat

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

spacecraft

streetcar

tractor

train

tram

truck

van

watercraft

accident

collision

crash

wreck

NOS

classify the victim as an occupant or rider of the vehicle mentioned.

If more than one vehicle is mentioned, do not make any assumption as to which vehicle was occupied by the victim unless the vehicles are the same. Instead, code to the appropriate categories V87–V88, V90–V94, V95–V97, taking into account the order of precedence given in note 2 above.

5.  Where a transport accident, such as:

vehicle (motor)(nonmotor):

  • failing to make curve

  • going out of control (due to):

    • burst tyre [blowout]

    • driver falling asleep

    • driver inattention

    • excessive speed

    • failure of mechanical part

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

6.  Where a transport accident involving a vehicle in motion, such as:

accidental poisoning from exhaust gas generated by

breakage of any part of

explosion of any part of

fall, jump or being accidentally pushed from or restarting in

hit by object thrown into or onto

injured by being thrown against some part of, or object in

injury from moving part of

object falling in or on

vehicle in motion

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

7.  Land transport accidents described as:

collision (due to loss of control)(on highway) between vehicle and:

  • abutment(bridge)(overpass)

  • fallen stone

  • guard rail or boundary fence

  • inter-highway divider

  • landslide (not moving)

  • object thrown in front of motor vehicle

  • safety island

  • tree

  • traffic sign or marker (temporary)

  • utility pole

  • wall of cut made for road

  • other object, fixed, movable or moving

are included in V17, V27, V37, V47, V57, V67 and V77

overturning (without collision) are included in V18, V28, V38, V48, V58, V68, and V78

collision with animal (herded)(unattended) are included in V10, V20, V30, V40, V50, V60 and V70

collision with animal-drawn vehicle or animal being ridden are included in V16, V26, V36, V46, V56, V66 and V76.

Pedestrian injured in transport accident
(V01-V09)

Excl.:
collision of pedestrian (conveyance) with other pedestrian (conveyance) (W51)
collision of pedestrian (conveyance) with other pedestrian (conveyance)
  • with subsequent fall (W03)
Modifiers

The following fourth-character subdivisions are for use with categories V01-V06:

Code Title
.0
Nontraffic accident
.1
Traffic accident
.9
Unspecified whether traffic or nontraffic accident

V01 Pedestrian injured in collision with pedal cycle

V02 Pedestrian injured in collision with two- or three-wheeled motor vehicle

V03 Pedestrian injured in collision with car, pick-up truck or van

V04 Pedestrian injured in collision with heavy transport vehicle or bus

V05 Pedestrian injured in collision with railway train or railway vehicle

V06 Pedestrian injured in collision with other nonmotor vehicle

Incl.:
collision with animal-drawn vehicle, animal being ridden, streetcar

V09 Pedestrian injured in other and unspecified transport accidents

Incl.:
pedestrian injured by special vehicle
V09.0 Pedestrian injured in nontraffic accident involving other and unspecified motor vehicles
V09.1 Pedestrian injured in unspecified nontraffic accident
V09.2 Pedestrian injured in traffic accident involving other and unspecified motor vehicles
V09.3 Pedestrian injured in unspecified traffic accident
V09.9 Pedestrian injured in unspecified transport accident

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Transport accidents
(V01-V99)

Note:

This section is structured in 12 groups. Those relating to land transport accidents (V01-V89) reflect the victim's mode of transport and are subdivided to identify the victim's "counterpart" or the type of event. The vehicle of which the injured person is an occupant is identified in the first two characters since it is seen as the most important factor to identify for prevention purposes.

Excl.:
accidents to persons engaged in the maintenance or repair of transport equipment or vehicle (not in motion) unless injured by another vehicle in motion (W00-X59)
accidents involving vehicles, but unrelated to the hazards associated with the means of transportation, e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm; finger crushed when shutting car door (W00-X59)
assault by crashing of motor vehicle (Y03)
event of undetermined intent (Y31-Y33)
intentional self-harm (X81-X83)
Introduction

Definitions related to transport accidents

(a)  A transport accident (V01–V99) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

(b)  A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic.

(c)  A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is assumed to have occurred on the public highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated.

(d)  A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway.

(e)  A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal.

Incl.:  person:

  • making adjustment to motor of vehicle

  • changing tyre of vehicle

  • on foot

user of a pedestrian conveyance such as:

  • baby carriage

  • ice-skates

  • perambulator

  • push-cart

  • push-chair

  • roller-skates

  • scooter

  • skateboard

  • skis

  • sled

  • wheelchair (powered)

(f)  A driver is an occupant of a transport vehicle who is operating or intending to operate it.

(g)  A passenger is any occupant of a transport vehicle other than the driver.

Excl.:  person travelling on outside of vehicle – see definition (h)

(h)  A person on outside of vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property.

Incl.:  person (travelling on):

  • bodywork

  • bumper [fender]

  • hanging on outside

  • roof (rack)

  • running-board

  • step

(i)  A pedal cycle is any land transport vehicle operated solely by pedals.

Incl.:  bicycle

tricycle

Excl.:  motorized bicycle – see definition (k)

(j)  A pedal cyclist is any person riding on a pedal cycle or in a sidecar or trailer attached to such a vehicle.

(k)  A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes with a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Incl.:  moped

motor scooter

motorcycle:

  • NOS

  • combination

  • with sidecar

motorized bicycle

speed-limited motor-driven cycle

Excl.:  motor-driven tricycle – see definition (m)

(l)  A motorcycle rider is any person riding on a motorcycle or in a sidecar or trailer attached to such a vehicle.

(m)  A three-wheeled motor vehicle is a motorized tricycle designed primarily for on- road use.

Incl.:  motor-driven tricycle

motorized rickshaw

three-wheeled motor car

Excl.:  motorcycle with sidecar – see definition (k)

special all-terrain vehicle – see definition (x)

(n)  A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 10 persons. A trailer or caravan being towed by a car is considered a part of the car.

Incl.:  minibus

(o)  A motor vehicle or vehicle may refer to various transport vehicles. The local usage of the terms should be established to determine the appropriate code. If the terms are used ambiguously, use the code for “unspecified”. A trailer or caravan being towed by a vehicle is considered a part of the vehicle.

(p)  A pick-up truck or van is a four- or six-wheeled motor vehicle designed primarily for carrying property, weighing less than the local limit for classification as a heavy goods vehicle, and not requiring a special driver’s licence.

(q)  A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of kerbside weight (usually above 3500 kg), and requiring a special driver’s licence.

(r)  A bus is a motor vehicle designed or adapted primarily for carrying more than 10 persons, and requiring a special driver’s licence.

Incl.:  coach

(s)  A railway train or railway vehicle is any device, with or without cars coupled to it, designed for traffic on a railway.

Incl.:  interurban:

  • electric car (operated chiefly on its own right-of-way, not open to other traffic)

  • street car (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel] [electric] [steam]:

  • funicular

  • monorail or two-rail

  • subterranean or elevated

other vehicle designed to run on a railway track

Excl.:  interurban electric cars [streetcars] specified to be operating on a right-of- way that forms part of the public street or highway – see definition (t)

(t)  A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the roadway. A trailer being towed by a streetcar is considered a part of the streetcar.

Incl.:  interurban electric car or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(u)  A special vehicle mainly used on industrial premises is a motor vehicle designed primarily for use within the buildings and premises of industrial or commercial establishments.

Incl.:  battery-powered:

  • airport passenger vehicle

  • truck (baggage)(mail)

coal-car in mine

forklift (truck)

logging car

self-propelled truck, industrial

station baggage truck (powered)

tram, truck or tub (powered) in mine or quarry

(v)  A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use in farming and agriculture (horticulture), for example to work the land, tend and harvest crops and transport materials on the farm.

Incl.:  combine harvester

self-propelled farm machinery

tractor (and trailer)

(w)  A special construction vehicle is a motor vehicle designed specifically for use in the construction (and demolition) of roads, buildings and other structures.

Incl.:  bulldozer

digger

dumper truck

earth-leveller

mechanical shovel

road-roller

(x)  A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tyres, tracks, and support on a cushion of air.

Incl.:  hovercraft on land or swamp

snowmobile

Excl.:  hovercraft on open water – see definition (y)

(y)  A watercraft is any device for transporting passengers or goods on water.

Incl.:  hovercraft NOS

(z)  An aircraft is any device for transporting passengers or goods in the air.

Classification and coding instructions for transport accidents

1.  If an event is unspecified as to whether it was a traffic or a nontraffic accident, it is assumed to be:

  1. A traffic accident when the event is classifiable to categories V10–V82 and V87.

  2. A nontraffic accident when the event is classifiable to categories V83–V86. For these categories the victim is either a pedestrian, or an occupant of a vehicle designed primarily for off-road use.

2.  When accidents involving more than one kind of transport are reported, the following order of precedence should be used:

aircraft and spacecraft (V95–V97)

watercraft (V90–V94)

other modes of transport (V01–V89, V98–V99)

3.  Where transport accident descriptions do not specify the victim as being a vehicle occupant and the victim is described as:

crushed

dragged

hit

injured

killed

knocked down

run over

by any vehicle including

animal being ridden

animal-drawn vehicle

bicycle

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

streetcar

tractor

train

tram

truck

van

classify the victim as a pedestrian (categories V01–V09).

4.  Where transport accident descriptions do not indicate the victim’s role, such as:

airplane

bicycle

boat

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

spacecraft

streetcar

tractor

train

tram

truck

van

watercraft

accident

collision

crash

wreck

NOS

classify the victim as an occupant or rider of the vehicle mentioned.

If more than one vehicle is mentioned, do not make any assumption as to which vehicle was occupied by the victim unless the vehicles are the same. Instead, code to the appropriate categories V87–V88, V90–V94, V95–V97, taking into account the order of precedence given in note 2 above.

5.  Where a transport accident, such as:

vehicle (motor)(nonmotor):

  • failing to make curve

  • going out of control (due to):

    • burst tyre [blowout]

    • driver falling asleep

    • driver inattention

    • excessive speed

    • failure of mechanical part

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

6.  Where a transport accident involving a vehicle in motion, such as:

accidental poisoning from exhaust gas generated by

breakage of any part of

explosion of any part of

fall, jump or being accidentally pushed from or restarting in

hit by object thrown into or onto

injured by being thrown against some part of, or object in

injury from moving part of

object falling in or on

vehicle in motion

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

7.  Land transport accidents described as:

collision (due to loss of control)(on highway) between vehicle and:

  • abutment(bridge)(overpass)

  • fallen stone

  • guard rail or boundary fence

  • inter-highway divider

  • landslide (not moving)

  • object thrown in front of motor vehicle

  • safety island

  • tree

  • traffic sign or marker (temporary)

  • utility pole

  • wall of cut made for road

  • other object, fixed, movable or moving

are included in V17, V27, V37, V47, V57, V67 and V77

overturning (without collision) are included in V18, V28, V38, V48, V58, V68, and V78

collision with animal (herded)(unattended) are included in V10, V20, V30, V40, V50, V60 and V70

collision with animal-drawn vehicle or animal being ridden are included in V16, V26, V36, V46, V56, V66 and V76.

Pedal cyclist injured in transport accident
(V10-V19)

Modifiers

The following fourth-character subdivisions are for use with categories V10-V18:

Code Title
.0
Driver injured in nontraffic accident
.1
Passenger injured in nontraffic accident
.2
Unspecified pedal cyclist injured in nontraffic accident
.3
Person injured while boarding or alighting
.4
Driver injured in traffic accident
.5
Passenger injured in traffic accident
.9
Unspecified pedal cyclist injured in traffic accident

V10 Pedal cyclist injured in collision with pedestrian or animal

Excl.:
collision with animal-drawn vehicle or animal being ridden (V16.-)

V11 Pedal cyclist injured in collision with other pedal cycle

V12 Pedal cyclist injured in collision with two- or three-wheeled motor vehicle

V13 Pedal cyclist injured in collision with car, pick-up truck or van

V14 Pedal cyclist injured in collision with heavy transport vehicle or bus

V15 Pedal cyclist injured in collision with railway train or railway vehicle

V16 Pedal cyclist injured in collision with other nonmotor vehicle

Incl.:
collision with animal-drawn vehicle, animal being ridden, streetcar

V17 Pedal cyclist injured in collision with fixed or stationary object

V18 Pedal cyclist injured in noncollision transport accident

Incl.:
fall or thrown from pedal cycle (without antecedent collision) overturning:
  • NOS
  • without collision

V19 Pedal cyclist injured in other and unspecified transport accidents

V19.0 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident
V19.1 Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident
V19.2 Unspecified pedal cyclist injured in collision with other and unspecified motor vehicles in nontraffic accident
Incl.:
Pedal cycle collision NOS, nontraffic
V19.3 Pedal cyclist [any] injured in unspecified nontraffic accident
Incl.:
Pedal cycle accident NOS, nontraffic
Pedal cyclist injured in nontraffic accident NOS
V19.4 Driver injured in collision with other and unspecified motor vehicles in traffic accident
V19.5 Passenger injured in collision with other and unspecified motor vehicles in traffic accident
V19.6 Unspecified pedal cyclist injured in collision with other and unspecified motor vehicles in traffic accident
Incl.:
Pedal cycle collision NOS (traffic)
V19.8 Pedal cyclist [any] injured in other specified transport accidents
Incl.:
Trapped by part of pedal cycle
V19.9 Pedal cyclist [any] injured in unspecified traffic accident
Incl.:
Pedal cycle accident NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Transport accidents
(V01-V99)

Note:

This section is structured in 12 groups. Those relating to land transport accidents (V01-V89) reflect the victim's mode of transport and are subdivided to identify the victim's "counterpart" or the type of event. The vehicle of which the injured person is an occupant is identified in the first two characters since it is seen as the most important factor to identify for prevention purposes.

Excl.:
accidents to persons engaged in the maintenance or repair of transport equipment or vehicle (not in motion) unless injured by another vehicle in motion (W00-X59)
accidents involving vehicles, but unrelated to the hazards associated with the means of transportation, e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm; finger crushed when shutting car door (W00-X59)
assault by crashing of motor vehicle (Y03)
event of undetermined intent (Y31-Y33)
intentional self-harm (X81-X83)
Introduction

Definitions related to transport accidents

(a)  A transport accident (V01–V99) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

(b)  A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic.

(c)  A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is assumed to have occurred on the public highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated.

(d)  A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway.

(e)  A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal.

Incl.:  person:

  • making adjustment to motor of vehicle

  • changing tyre of vehicle

  • on foot

user of a pedestrian conveyance such as:

  • baby carriage

  • ice-skates

  • perambulator

  • push-cart

  • push-chair

  • roller-skates

  • scooter

  • skateboard

  • skis

  • sled

  • wheelchair (powered)

(f)  A driver is an occupant of a transport vehicle who is operating or intending to operate it.

(g)  A passenger is any occupant of a transport vehicle other than the driver.

Excl.:  person travelling on outside of vehicle – see definition (h)

(h)  A person on outside of vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property.

Incl.:  person (travelling on):

  • bodywork

  • bumper [fender]

  • hanging on outside

  • roof (rack)

  • running-board

  • step

(i)  A pedal cycle is any land transport vehicle operated solely by pedals.

Incl.:  bicycle

tricycle

Excl.:  motorized bicycle – see definition (k)

(j)  A pedal cyclist is any person riding on a pedal cycle or in a sidecar or trailer attached to such a vehicle.

(k)  A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes with a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Incl.:  moped

motor scooter

motorcycle:

  • NOS

  • combination

  • with sidecar

motorized bicycle

speed-limited motor-driven cycle

Excl.:  motor-driven tricycle – see definition (m)

(l)  A motorcycle rider is any person riding on a motorcycle or in a sidecar or trailer attached to such a vehicle.

(m)  A three-wheeled motor vehicle is a motorized tricycle designed primarily for on- road use.

Incl.:  motor-driven tricycle

motorized rickshaw

three-wheeled motor car

Excl.:  motorcycle with sidecar – see definition (k)

special all-terrain vehicle – see definition (x)

(n)  A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 10 persons. A trailer or caravan being towed by a car is considered a part of the car.

Incl.:  minibus

(o)  A motor vehicle or vehicle may refer to various transport vehicles. The local usage of the terms should be established to determine the appropriate code. If the terms are used ambiguously, use the code for “unspecified”. A trailer or caravan being towed by a vehicle is considered a part of the vehicle.

(p)  A pick-up truck or van is a four- or six-wheeled motor vehicle designed primarily for carrying property, weighing less than the local limit for classification as a heavy goods vehicle, and not requiring a special driver’s licence.

(q)  A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of kerbside weight (usually above 3500 kg), and requiring a special driver’s licence.

(r)  A bus is a motor vehicle designed or adapted primarily for carrying more than 10 persons, and requiring a special driver’s licence.

Incl.:  coach

(s)  A railway train or railway vehicle is any device, with or without cars coupled to it, designed for traffic on a railway.

Incl.:  interurban:

  • electric car (operated chiefly on its own right-of-way, not open to other traffic)

  • street car (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel] [electric] [steam]:

  • funicular

  • monorail or two-rail

  • subterranean or elevated

other vehicle designed to run on a railway track

Excl.:  interurban electric cars [streetcars] specified to be operating on a right-of- way that forms part of the public street or highway – see definition (t)

(t)  A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the roadway. A trailer being towed by a streetcar is considered a part of the streetcar.

Incl.:  interurban electric car or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(u)  A special vehicle mainly used on industrial premises is a motor vehicle designed primarily for use within the buildings and premises of industrial or commercial establishments.

Incl.:  battery-powered:

  • airport passenger vehicle

  • truck (baggage)(mail)

coal-car in mine

forklift (truck)

logging car

self-propelled truck, industrial

station baggage truck (powered)

tram, truck or tub (powered) in mine or quarry

(v)  A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use in farming and agriculture (horticulture), for example to work the land, tend and harvest crops and transport materials on the farm.

Incl.:  combine harvester

self-propelled farm machinery

tractor (and trailer)

(w)  A special construction vehicle is a motor vehicle designed specifically for use in the construction (and demolition) of roads, buildings and other structures.

Incl.:  bulldozer

digger

dumper truck

earth-leveller

mechanical shovel

road-roller

(x)  A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tyres, tracks, and support on a cushion of air.

Incl.:  hovercraft on land or swamp

snowmobile

Excl.:  hovercraft on open water – see definition (y)

(y)  A watercraft is any device for transporting passengers or goods on water.

Incl.:  hovercraft NOS

(z)  An aircraft is any device for transporting passengers or goods in the air.

Classification and coding instructions for transport accidents

1.  If an event is unspecified as to whether it was a traffic or a nontraffic accident, it is assumed to be:

  1. A traffic accident when the event is classifiable to categories V10–V82 and V87.

  2. A nontraffic accident when the event is classifiable to categories V83–V86. For these categories the victim is either a pedestrian, or an occupant of a vehicle designed primarily for off-road use.

2.  When accidents involving more than one kind of transport are reported, the following order of precedence should be used:

aircraft and spacecraft (V95–V97)

watercraft (V90–V94)

other modes of transport (V01–V89, V98–V99)

3.  Where transport accident descriptions do not specify the victim as being a vehicle occupant and the victim is described as:

crushed

dragged

hit

injured

killed

knocked down

run over

by any vehicle including

animal being ridden

animal-drawn vehicle

bicycle

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

streetcar

tractor

train

tram

truck

van

classify the victim as a pedestrian (categories V01–V09).

4.  Where transport accident descriptions do not indicate the victim’s role, such as:

airplane

bicycle

boat

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

spacecraft

streetcar

tractor

train

tram

truck

van

watercraft

accident

collision

crash

wreck

NOS

classify the victim as an occupant or rider of the vehicle mentioned.

If more than one vehicle is mentioned, do not make any assumption as to which vehicle was occupied by the victim unless the vehicles are the same. Instead, code to the appropriate categories V87–V88, V90–V94, V95–V97, taking into account the order of precedence given in note 2 above.

5.  Where a transport accident, such as:

vehicle (motor)(nonmotor):

  • failing to make curve

  • going out of control (due to):

    • burst tyre [blowout]

    • driver falling asleep

    • driver inattention

    • excessive speed

    • failure of mechanical part

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

6.  Where a transport accident involving a vehicle in motion, such as:

accidental poisoning from exhaust gas generated by

breakage of any part of

explosion of any part of

fall, jump or being accidentally pushed from or restarting in

hit by object thrown into or onto

injured by being thrown against some part of, or object in

injury from moving part of

object falling in or on

vehicle in motion

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

7.  Land transport accidents described as:

collision (due to loss of control)(on highway) between vehicle and:

  • abutment(bridge)(overpass)

  • fallen stone

  • guard rail or boundary fence

  • inter-highway divider

  • landslide (not moving)

  • object thrown in front of motor vehicle

  • safety island

  • tree

  • traffic sign or marker (temporary)

  • utility pole

  • wall of cut made for road

  • other object, fixed, movable or moving

are included in V17, V27, V37, V47, V57, V67 and V77

overturning (without collision) are included in V18, V28, V38, V48, V58, V68, and V78

collision with animal (herded)(unattended) are included in V10, V20, V30, V40, V50, V60 and V70

collision with animal-drawn vehicle or animal being ridden are included in V16, V26, V36, V46, V56, V66 and V76.

Motorcycle rider injured in transport accident
(V20-V29)

Incl.:
moped
motorcycle with sidecar
motorized bicycle
motor scooter
Excl.:
three-wheeled motor vehicle (V30-V39)
Modifiers

The following fourth-character subdivisions are for use with categories V20-V28:

Code Title
.0
Driver injured in nontraffic accident
.1
Passenger injured in nontraffic accident
.2
Unspecified motorcycle rider injured in nontraffic accident
.3
Person injured while boarding or alighting
.4
Driver injured in traffic accident
.5
Passenger injured in traffic accident
.9
Unspecified motorcycle rider injured in traffic accident

V20 Motorcycle rider injured in collision with pedestrian or animal

Excl.:
collision with animal-drawn vehicle or animal being ridden (V26.-)

V21 Motorcycle rider injured in collision with pedal cycle

V22 Motorcycle rider injured in collision with two- or three-wheeled motor vehicle

V23 Motorcycle rider injured in collision with car, pick-up truck or van

V24 Motorcycle rider injured in collision with heavy transport vehicle or bus

V25 Motorcycle rider injured in collision with railway train or railway vehicle

V26 Motorcycle rider injured in collision with other nonmotor vehicle

Incl.:
collision with animal-drawn vehicle, animal being ridden, streetcar

V27 Motorcycle rider injured in collision with fixed or stationary object

V28 Motorcycle rider injured in noncollision transport accident

Incl.:
fall or thrown from motorcycle (without antecedent collision) overturning:
  • NOS
  • without collision

V29 Motorcycle rider injured in other and unspecified transport accidents

V29.0 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident
V29.1 Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident
V29.2 Unspecified motorcycle rider injured in collision with other and unspecified motor vehicles in nontraffic accident
Incl.:
Motorcycle collision NOS, nontraffic
V29.3 Motorcycle rider [any] injured in unspecified nontraffic accident
Incl.:
Motorcycle accident NOS, nontraffic
Motorcycle rider injured in nontraffic accident NOS
V29.4 Driver injured in collision with other and unspecified motor vehicles in traffic accident
V29.5 Passenger injured in collision with other and unspecified motor vehicles in traffic accident
V29.6 Unspecified motorcycle rider injured in collision with other and unspecified motor vehicles in traffic accident
Incl.:
Motorcycle collision NOS (traffic)
V29.8 Motorcycle rider [any] injured in other specified transport accidents
Incl.:
Trapped by part of motorcycle
V29.9 Motorcycle rider [any] injured in unspecified traffic accident
Incl.:
Motorcycle accident NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Transport accidents
(V01-V99)

Note:

This section is structured in 12 groups. Those relating to land transport accidents (V01-V89) reflect the victim's mode of transport and are subdivided to identify the victim's "counterpart" or the type of event. The vehicle of which the injured person is an occupant is identified in the first two characters since it is seen as the most important factor to identify for prevention purposes.

Excl.:
accidents to persons engaged in the maintenance or repair of transport equipment or vehicle (not in motion) unless injured by another vehicle in motion (W00-X59)
accidents involving vehicles, but unrelated to the hazards associated with the means of transportation, e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm; finger crushed when shutting car door (W00-X59)
assault by crashing of motor vehicle (Y03)
event of undetermined intent (Y31-Y33)
intentional self-harm (X81-X83)
Introduction

Definitions related to transport accidents

(a)  A transport accident (V01–V99) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

(b)  A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic.

(c)  A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is assumed to have occurred on the public highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated.

(d)  A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway.

(e)  A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal.

Incl.:  person:

  • making adjustment to motor of vehicle

  • changing tyre of vehicle

  • on foot

user of a pedestrian conveyance such as:

  • baby carriage

  • ice-skates

  • perambulator

  • push-cart

  • push-chair

  • roller-skates

  • scooter

  • skateboard

  • skis

  • sled

  • wheelchair (powered)

(f)  A driver is an occupant of a transport vehicle who is operating or intending to operate it.

(g)  A passenger is any occupant of a transport vehicle other than the driver.

Excl.:  person travelling on outside of vehicle – see definition (h)

(h)  A person on outside of vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property.

Incl.:  person (travelling on):

  • bodywork

  • bumper [fender]

  • hanging on outside

  • roof (rack)

  • running-board

  • step

(i)  A pedal cycle is any land transport vehicle operated solely by pedals.

Incl.:  bicycle

tricycle

Excl.:  motorized bicycle – see definition (k)

(j)  A pedal cyclist is any person riding on a pedal cycle or in a sidecar or trailer attached to such a vehicle.

(k)  A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes with a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Incl.:  moped

motor scooter

motorcycle:

  • NOS

  • combination

  • with sidecar

motorized bicycle

speed-limited motor-driven cycle

Excl.:  motor-driven tricycle – see definition (m)

(l)  A motorcycle rider is any person riding on a motorcycle or in a sidecar or trailer attached to such a vehicle.

(m)  A three-wheeled motor vehicle is a motorized tricycle designed primarily for on- road use.

Incl.:  motor-driven tricycle

motorized rickshaw

three-wheeled motor car

Excl.:  motorcycle with sidecar – see definition (k)

special all-terrain vehicle – see definition (x)

(n)  A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 10 persons. A trailer or caravan being towed by a car is considered a part of the car.

Incl.:  minibus

(o)  A motor vehicle or vehicle may refer to various transport vehicles. The local usage of the terms should be established to determine the appropriate code. If the terms are used ambiguously, use the code for “unspecified”. A trailer or caravan being towed by a vehicle is considered a part of the vehicle.

(p)  A pick-up truck or van is a four- or six-wheeled motor vehicle designed primarily for carrying property, weighing less than the local limit for classification as a heavy goods vehicle, and not requiring a special driver’s licence.

(q)  A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of kerbside weight (usually above 3500 kg), and requiring a special driver’s licence.

(r)  A bus is a motor vehicle designed or adapted primarily for carrying more than 10 persons, and requiring a special driver’s licence.

Incl.:  coach

(s)  A railway train or railway vehicle is any device, with or without cars coupled to it, designed for traffic on a railway.

Incl.:  interurban:

  • electric car (operated chiefly on its own right-of-way, not open to other traffic)

  • street car (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel] [electric] [steam]:

  • funicular

  • monorail or two-rail

  • subterranean or elevated

other vehicle designed to run on a railway track

Excl.:  interurban electric cars [streetcars] specified to be operating on a right-of- way that forms part of the public street or highway – see definition (t)

(t)  A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the roadway. A trailer being towed by a streetcar is considered a part of the streetcar.

Incl.:  interurban electric car or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(u)  A special vehicle mainly used on industrial premises is a motor vehicle designed primarily for use within the buildings and premises of industrial or commercial establishments.

Incl.:  battery-powered:

  • airport passenger vehicle

  • truck (baggage)(mail)

coal-car in mine

forklift (truck)

logging car

self-propelled truck, industrial

station baggage truck (powered)

tram, truck or tub (powered) in mine or quarry

(v)  A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use in farming and agriculture (horticulture), for example to work the land, tend and harvest crops and transport materials on the farm.

Incl.:  combine harvester

self-propelled farm machinery

tractor (and trailer)

(w)  A special construction vehicle is a motor vehicle designed specifically for use in the construction (and demolition) of roads, buildings and other structures.

Incl.:  bulldozer

digger

dumper truck

earth-leveller

mechanical shovel

road-roller

(x)  A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tyres, tracks, and support on a cushion of air.

Incl.:  hovercraft on land or swamp

snowmobile

Excl.:  hovercraft on open water – see definition (y)

(y)  A watercraft is any device for transporting passengers or goods on water.

Incl.:  hovercraft NOS

(z)  An aircraft is any device for transporting passengers or goods in the air.

Classification and coding instructions for transport accidents

1.  If an event is unspecified as to whether it was a traffic or a nontraffic accident, it is assumed to be:

  1. A traffic accident when the event is classifiable to categories V10–V82 and V87.

  2. A nontraffic accident when the event is classifiable to categories V83–V86. For these categories the victim is either a pedestrian, or an occupant of a vehicle designed primarily for off-road use.

2.  When accidents involving more than one kind of transport are reported, the following order of precedence should be used:

aircraft and spacecraft (V95–V97)

watercraft (V90–V94)

other modes of transport (V01–V89, V98–V99)

3.  Where transport accident descriptions do not specify the victim as being a vehicle occupant and the victim is described as:

crushed

dragged

hit

injured

killed

knocked down

run over

by any vehicle including

animal being ridden

animal-drawn vehicle

bicycle

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

streetcar

tractor

train

tram

truck

van

classify the victim as a pedestrian (categories V01–V09).

4.  Where transport accident descriptions do not indicate the victim’s role, such as:

airplane

bicycle

boat

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

spacecraft

streetcar

tractor

train

tram

truck

van

watercraft

accident

collision

crash

wreck

NOS

classify the victim as an occupant or rider of the vehicle mentioned.

If more than one vehicle is mentioned, do not make any assumption as to which vehicle was occupied by the victim unless the vehicles are the same. Instead, code to the appropriate categories V87–V88, V90–V94, V95–V97, taking into account the order of precedence given in note 2 above.

5.  Where a transport accident, such as:

vehicle (motor)(nonmotor):

  • failing to make curve

  • going out of control (due to):

    • burst tyre [blowout]

    • driver falling asleep

    • driver inattention

    • excessive speed

    • failure of mechanical part

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

6.  Where a transport accident involving a vehicle in motion, such as:

accidental poisoning from exhaust gas generated by

breakage of any part of

explosion of any part of

fall, jump or being accidentally pushed from or restarting in

hit by object thrown into or onto

injured by being thrown against some part of, or object in

injury from moving part of

object falling in or on

vehicle in motion

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

7.  Land transport accidents described as:

collision (due to loss of control)(on highway) between vehicle and:

  • abutment(bridge)(overpass)

  • fallen stone

  • guard rail or boundary fence

  • inter-highway divider

  • landslide (not moving)

  • object thrown in front of motor vehicle

  • safety island

  • tree

  • traffic sign or marker (temporary)

  • utility pole

  • wall of cut made for road

  • other object, fixed, movable or moving

are included in V17, V27, V37, V47, V57, V67 and V77

overturning (without collision) are included in V18, V28, V38, V48, V58, V68, and V78

collision with animal (herded)(unattended) are included in V10, V20, V30, V40, V50, V60 and V70

collision with animal-drawn vehicle or animal being ridden are included in V16, V26, V36, V46, V56, V66 and V76.

Occupant of three-wheeled motor vehicle injured in transport accident
(V30-V39)

Incl.:
motorized tricycle
Excl.:
motorcycle with sidecar (V20-V29)
vehicle designed primarily for off-road use (V86.-)
Modifiers

The following fourth-character subdivisions are for use with categories V30-V38:

Code Title
.0
Driver injured in nontraffic accident
.1
Passenger injured in nontraffic accident
.2
Person on outside of vehicle injured in nontraffic accident
.3
Unspecified occupant of three-wheeled motor vehicle injured in nontraffic accident
.4
Person injured while boarding or alighting
.5
Driver injured in traffic accident
.6
Passenger injured in traffic accident
.7
Person on outside of vehicle injured in traffic accident
.9
Unspecified occupant of three-wheeled motor vehicle injured in traffic accident

V30 Occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal

Excl.:
collision with animal-drawn vehicle or animal being ridden (V36.-)

V31 Occupant of three-wheeled motor vehicle injured in collision with pedal cycle

V32 Occupant of three-wheeled motor vehicle injured in collision with two- or three-wheeled motor vehicle

V33 Occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van

V34 Occupant of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus

V35 Occupant of three-wheeled motor vehicle injured in collision with railway train or railway vehicle

V36 Occupant of three-wheeled motor vehicle injured in collision with other nonmotor vehicle

Incl.:
collision with animal-drawn vehicle, animal being ridden, streetcar

V37 Occupant of three-wheeled motor vehicle injured in collision with fixed or stationary object

V38 Occupant of three-wheeled motor vehicle injured in noncollision transport accident

Incl.:
fall or thrown from three-wheeled motor vehicle overturning:
  • NOS
  • without collision

V39 Occupant of three-wheeled motor vehicle injured in other and unspecified transport accidents

V39.0 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident
V39.1 Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident
V39.2 Unspecified occupant of three-wheeled motor vehicle injured in collision with other and unspecified motor vehicles in nontraffic accident
Incl.:
Collision NOS involving three-wheeled motor vehicle, nontraffic
V39.3 Occupant [any] of three-wheeled motor vehicle injured in unspecified nontraffic accident
Incl.:
Accident NOS involving three-wheeled motor vehicle, nontraffic
Occupant of three-wheeled motor vehicle injured in nontraffic accident NOS
V39.4 Driver injured in collision with other and unspecified motor vehicles in traffic accident
V39.5 Passenger injured in collision with other and unspecified motor vehicles in traffic accident
V39.6 Unspecified occupant of three-wheeled motor vehicle injured in collision with other and unspecified motor vehicles in traffic accident
Incl.:
Collision NOS involving three-wheeled motor vehicle (traffic)
V39.8 Occupant [any] of three-wheeled motor vehicle injured in other specified transport accidents
Incl.:
Trapped by door or other part of three-wheeled motor vehicle
V39.9 Occupant [any] of three-wheeled motor vehicle injured in unspecified traffic accident
Incl.:
Accident NOS involving three-wheeled motor vehicle

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Transport accidents
(V01-V99)

Note:

This section is structured in 12 groups. Those relating to land transport accidents (V01-V89) reflect the victim's mode of transport and are subdivided to identify the victim's "counterpart" or the type of event. The vehicle of which the injured person is an occupant is identified in the first two characters since it is seen as the most important factor to identify for prevention purposes.

Excl.:
accidents to persons engaged in the maintenance or repair of transport equipment or vehicle (not in motion) unless injured by another vehicle in motion (W00-X59)
accidents involving vehicles, but unrelated to the hazards associated with the means of transportation, e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm; finger crushed when shutting car door (W00-X59)
assault by crashing of motor vehicle (Y03)
event of undetermined intent (Y31-Y33)
intentional self-harm (X81-X83)
Introduction

Definitions related to transport accidents

(a)  A transport accident (V01–V99) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

(b)  A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic.

(c)  A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is assumed to have occurred on the public highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated.

(d)  A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway.

(e)  A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal.

Incl.:  person:

  • making adjustment to motor of vehicle

  • changing tyre of vehicle

  • on foot

user of a pedestrian conveyance such as:

  • baby carriage

  • ice-skates

  • perambulator

  • push-cart

  • push-chair

  • roller-skates

  • scooter

  • skateboard

  • skis

  • sled

  • wheelchair (powered)

(f)  A driver is an occupant of a transport vehicle who is operating or intending to operate it.

(g)  A passenger is any occupant of a transport vehicle other than the driver.

Excl.:  person travelling on outside of vehicle – see definition (h)

(h)  A person on outside of vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property.

Incl.:  person (travelling on):

  • bodywork

  • bumper [fender]

  • hanging on outside

  • roof (rack)

  • running-board

  • step

(i)  A pedal cycle is any land transport vehicle operated solely by pedals.

Incl.:  bicycle

tricycle

Excl.:  motorized bicycle – see definition (k)

(j)  A pedal cyclist is any person riding on a pedal cycle or in a sidecar or trailer attached to such a vehicle.

(k)  A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes with a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Incl.:  moped

motor scooter

motorcycle:

  • NOS

  • combination

  • with sidecar

motorized bicycle

speed-limited motor-driven cycle

Excl.:  motor-driven tricycle – see definition (m)

(l)  A motorcycle rider is any person riding on a motorcycle or in a sidecar or trailer attached to such a vehicle.

(m)  A three-wheeled motor vehicle is a motorized tricycle designed primarily for on- road use.

Incl.:  motor-driven tricycle

motorized rickshaw

three-wheeled motor car

Excl.:  motorcycle with sidecar – see definition (k)

special all-terrain vehicle – see definition (x)

(n)  A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 10 persons. A trailer or caravan being towed by a car is considered a part of the car.

Incl.:  minibus

(o)  A motor vehicle or vehicle may refer to various transport vehicles. The local usage of the terms should be established to determine the appropriate code. If the terms are used ambiguously, use the code for “unspecified”. A trailer or caravan being towed by a vehicle is considered a part of the vehicle.

(p)  A pick-up truck or van is a four- or six-wheeled motor vehicle designed primarily for carrying property, weighing less than the local limit for classification as a heavy goods vehicle, and not requiring a special driver’s licence.

(q)  A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of kerbside weight (usually above 3500 kg), and requiring a special driver’s licence.

(r)  A bus is a motor vehicle designed or adapted primarily for carrying more than 10 persons, and requiring a special driver’s licence.

Incl.:  coach

(s)  A railway train or railway vehicle is any device, with or without cars coupled to it, designed for traffic on a railway.

Incl.:  interurban:

  • electric car (operated chiefly on its own right-of-way, not open to other traffic)

  • street car (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel] [electric] [steam]:

  • funicular

  • monorail or two-rail

  • subterranean or elevated

other vehicle designed to run on a railway track

Excl.:  interurban electric cars [streetcars] specified to be operating on a right-of- way that forms part of the public street or highway – see definition (t)

(t)  A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the roadway. A trailer being towed by a streetcar is considered a part of the streetcar.

Incl.:  interurban electric car or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(u)  A special vehicle mainly used on industrial premises is a motor vehicle designed primarily for use within the buildings and premises of industrial or commercial establishments.

Incl.:  battery-powered:

  • airport passenger vehicle

  • truck (baggage)(mail)

coal-car in mine

forklift (truck)

logging car

self-propelled truck, industrial

station baggage truck (powered)

tram, truck or tub (powered) in mine or quarry

(v)  A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use in farming and agriculture (horticulture), for example to work the land, tend and harvest crops and transport materials on the farm.

Incl.:  combine harvester

self-propelled farm machinery

tractor (and trailer)

(w)  A special construction vehicle is a motor vehicle designed specifically for use in the construction (and demolition) of roads, buildings and other structures.

Incl.:  bulldozer

digger

dumper truck

earth-leveller

mechanical shovel

road-roller

(x)  A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tyres, tracks, and support on a cushion of air.

Incl.:  hovercraft on land or swamp

snowmobile

Excl.:  hovercraft on open water – see definition (y)

(y)  A watercraft is any device for transporting passengers or goods on water.

Incl.:  hovercraft NOS

(z)  An aircraft is any device for transporting passengers or goods in the air.

Classification and coding instructions for transport accidents

1.  If an event is unspecified as to whether it was a traffic or a nontraffic accident, it is assumed to be:

  1. A traffic accident when the event is classifiable to categories V10–V82 and V87.

  2. A nontraffic accident when the event is classifiable to categories V83–V86. For these categories the victim is either a pedestrian, or an occupant of a vehicle designed primarily for off-road use.

2.  When accidents involving more than one kind of transport are reported, the following order of precedence should be used:

aircraft and spacecraft (V95–V97)

watercraft (V90–V94)

other modes of transport (V01–V89, V98–V99)

3.  Where transport accident descriptions do not specify the victim as being a vehicle occupant and the victim is described as:

crushed

dragged

hit

injured

killed

knocked down

run over

by any vehicle including

animal being ridden

animal-drawn vehicle

bicycle

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

streetcar

tractor

train

tram

truck

van

classify the victim as a pedestrian (categories V01–V09).

4.  Where transport accident descriptions do not indicate the victim’s role, such as:

airplane

bicycle

boat

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

spacecraft

streetcar

tractor

train

tram

truck

van

watercraft

accident

collision

crash

wreck

NOS

classify the victim as an occupant or rider of the vehicle mentioned.

If more than one vehicle is mentioned, do not make any assumption as to which vehicle was occupied by the victim unless the vehicles are the same. Instead, code to the appropriate categories V87–V88, V90–V94, V95–V97, taking into account the order of precedence given in note 2 above.

5.  Where a transport accident, such as:

vehicle (motor)(nonmotor):

  • failing to make curve

  • going out of control (due to):

    • burst tyre [blowout]

    • driver falling asleep

    • driver inattention

    • excessive speed

    • failure of mechanical part

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

6.  Where a transport accident involving a vehicle in motion, such as:

accidental poisoning from exhaust gas generated by

breakage of any part of

explosion of any part of

fall, jump or being accidentally pushed from or restarting in

hit by object thrown into or onto

injured by being thrown against some part of, or object in

injury from moving part of

object falling in or on

vehicle in motion

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

7.  Land transport accidents described as:

collision (due to loss of control)(on highway) between vehicle and:

  • abutment(bridge)(overpass)

  • fallen stone

  • guard rail or boundary fence

  • inter-highway divider

  • landslide (not moving)

  • object thrown in front of motor vehicle

  • safety island

  • tree

  • traffic sign or marker (temporary)

  • utility pole

  • wall of cut made for road

  • other object, fixed, movable or moving

are included in V17, V27, V37, V47, V57, V67 and V77

overturning (without collision) are included in V18, V28, V38, V48, V58, V68, and V78

collision with animal (herded)(unattended) are included in V10, V20, V30, V40, V50, V60 and V70

collision with animal-drawn vehicle or animal being ridden are included in V16, V26, V36, V46, V56, V66 and V76.

Car occupant injured in transport accident
(V40-V49)

Incl.:
minibus
Modifiers

The following fourth-character subdivisions are for use with categories V40-V48

Code Title
.0
Driver injured in nontraffic accident
.1
Passenger injured in nontraffic accident
.2
Person on outside of vehicle injured in nontraffic accident
.3
Unspecified car occupant injured in nontraffic accident
.4
Person injured while boarding or alighting
.5
Driver injured in traffic accident
.6
Passenger injured in traffic accident
.7
Person on outside of vehicle injured in traffic accident
.9
Unspecified car occupant injured in traffic accident

V40 Car occupant injured in collision with pedestrian or animal

Excl.:
collision with animal-drawn vehicle or animal being ridden (V46.-)

V41 Car occupant injured in collision with pedal cycle

V42 Car occupant injured in collision with two- or three-wheeled motor vehicle

V43 Car occupant injured in collision with car, pick-up truck or van

V44 Car occupant injured in collision with heavy transport vehicle or bus

V45 Car occupant injured in collision with railway train or railway vehicle

V46 Car occupant injured in collision with other nonmotor vehicle

Incl.:
collision with animal-drawn vehicle, animal being ridden, streetcar

V47 Car occupant injured in collision with fixed or stationary object

V48 Car occupant injured in noncollision transport accident

Incl.:
overturning:
  • NOS
  • without collision

V49 Car occupant injured in other and unspecified transport accidents

V49.0 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident
V49.1 Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident
V49.2 Unspecified car occupant injured in collision with other and unspecified motor vehicles in nontraffic accident
Incl.:
Car collision NOS, nontraffic
V49.3 Car occupant [any] injured in unspecified nontraffic accident
Incl.:
Car accident NOS, nontraffic
Car occupant injured in nontraffic accident NOS
V49.4 Driver injured in collision with other and unspecified motor vehicles in traffic accident
V49.5 Passenger injured in collision with other and unspecified motor vehicles in traffic accident
V49.6 Unspecified car occupant injured in collision with other and unspecified motor vehicles in traffic accident
Incl.:
Car collision NOS (traffic)
V49.8 Car occupant [any] injured in other specified transport accidents
Incl.:
Trapped by door or other part of car
V49.9 Car occupant [any] injured in unspecified traffic accident
Incl.:
Car accident NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Transport accidents
(V01-V99)

Note:

This section is structured in 12 groups. Those relating to land transport accidents (V01-V89) reflect the victim's mode of transport and are subdivided to identify the victim's "counterpart" or the type of event. The vehicle of which the injured person is an occupant is identified in the first two characters since it is seen as the most important factor to identify for prevention purposes.

Excl.:
accidents to persons engaged in the maintenance or repair of transport equipment or vehicle (not in motion) unless injured by another vehicle in motion (W00-X59)
accidents involving vehicles, but unrelated to the hazards associated with the means of transportation, e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm; finger crushed when shutting car door (W00-X59)
assault by crashing of motor vehicle (Y03)
event of undetermined intent (Y31-Y33)
intentional self-harm (X81-X83)
Introduction

Definitions related to transport accidents

(a)  A transport accident (V01–V99) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

(b)  A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic.

(c)  A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is assumed to have occurred on the public highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated.

(d)  A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway.

(e)  A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal.

Incl.:  person:

  • making adjustment to motor of vehicle

  • changing tyre of vehicle

  • on foot

user of a pedestrian conveyance such as:

  • baby carriage

  • ice-skates

  • perambulator

  • push-cart

  • push-chair

  • roller-skates

  • scooter

  • skateboard

  • skis

  • sled

  • wheelchair (powered)

(f)  A driver is an occupant of a transport vehicle who is operating or intending to operate it.

(g)  A passenger is any occupant of a transport vehicle other than the driver.

Excl.:  person travelling on outside of vehicle – see definition (h)

(h)  A person on outside of vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property.

Incl.:  person (travelling on):

  • bodywork

  • bumper [fender]

  • hanging on outside

  • roof (rack)

  • running-board

  • step

(i)  A pedal cycle is any land transport vehicle operated solely by pedals.

Incl.:  bicycle

tricycle

Excl.:  motorized bicycle – see definition (k)

(j)  A pedal cyclist is any person riding on a pedal cycle or in a sidecar or trailer attached to such a vehicle.

(k)  A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes with a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Incl.:  moped

motor scooter

motorcycle:

  • NOS

  • combination

  • with sidecar

motorized bicycle

speed-limited motor-driven cycle

Excl.:  motor-driven tricycle – see definition (m)

(l)  A motorcycle rider is any person riding on a motorcycle or in a sidecar or trailer attached to such a vehicle.

(m)  A three-wheeled motor vehicle is a motorized tricycle designed primarily for on- road use.

Incl.:  motor-driven tricycle

motorized rickshaw

three-wheeled motor car

Excl.:  motorcycle with sidecar – see definition (k)

special all-terrain vehicle – see definition (x)

(n)  A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 10 persons. A trailer or caravan being towed by a car is considered a part of the car.

Incl.:  minibus

(o)  A motor vehicle or vehicle may refer to various transport vehicles. The local usage of the terms should be established to determine the appropriate code. If the terms are used ambiguously, use the code for “unspecified”. A trailer or caravan being towed by a vehicle is considered a part of the vehicle.

(p)  A pick-up truck or van is a four- or six-wheeled motor vehicle designed primarily for carrying property, weighing less than the local limit for classification as a heavy goods vehicle, and not requiring a special driver’s licence.

(q)  A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of kerbside weight (usually above 3500 kg), and requiring a special driver’s licence.

(r)  A bus is a motor vehicle designed or adapted primarily for carrying more than 10 persons, and requiring a special driver’s licence.

Incl.:  coach

(s)  A railway train or railway vehicle is any device, with or without cars coupled to it, designed for traffic on a railway.

Incl.:  interurban:

  • electric car (operated chiefly on its own right-of-way, not open to other traffic)

  • street car (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel] [electric] [steam]:

  • funicular

  • monorail or two-rail

  • subterranean or elevated

other vehicle designed to run on a railway track

Excl.:  interurban electric cars [streetcars] specified to be operating on a right-of- way that forms part of the public street or highway – see definition (t)

(t)  A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the roadway. A trailer being towed by a streetcar is considered a part of the streetcar.

Incl.:  interurban electric car or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(u)  A special vehicle mainly used on industrial premises is a motor vehicle designed primarily for use within the buildings and premises of industrial or commercial establishments.

Incl.:  battery-powered:

  • airport passenger vehicle

  • truck (baggage)(mail)

coal-car in mine

forklift (truck)

logging car

self-propelled truck, industrial

station baggage truck (powered)

tram, truck or tub (powered) in mine or quarry

(v)  A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use in farming and agriculture (horticulture), for example to work the land, tend and harvest crops and transport materials on the farm.

Incl.:  combine harvester

self-propelled farm machinery

tractor (and trailer)

(w)  A special construction vehicle is a motor vehicle designed specifically for use in the construction (and demolition) of roads, buildings and other structures.

Incl.:  bulldozer

digger

dumper truck

earth-leveller

mechanical shovel

road-roller

(x)  A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tyres, tracks, and support on a cushion of air.

Incl.:  hovercraft on land or swamp

snowmobile

Excl.:  hovercraft on open water – see definition (y)

(y)  A watercraft is any device for transporting passengers or goods on water.

Incl.:  hovercraft NOS

(z)  An aircraft is any device for transporting passengers or goods in the air.

Classification and coding instructions for transport accidents

1.  If an event is unspecified as to whether it was a traffic or a nontraffic accident, it is assumed to be:

  1. A traffic accident when the event is classifiable to categories V10–V82 and V87.

  2. A nontraffic accident when the event is classifiable to categories V83–V86. For these categories the victim is either a pedestrian, or an occupant of a vehicle designed primarily for off-road use.

2.  When accidents involving more than one kind of transport are reported, the following order of precedence should be used:

aircraft and spacecraft (V95–V97)

watercraft (V90–V94)

other modes of transport (V01–V89, V98–V99)

3.  Where transport accident descriptions do not specify the victim as being a vehicle occupant and the victim is described as:

crushed

dragged

hit

injured

killed

knocked down

run over

by any vehicle including

animal being ridden

animal-drawn vehicle

bicycle

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

streetcar

tractor

train

tram

truck

van

classify the victim as a pedestrian (categories V01–V09).

4.  Where transport accident descriptions do not indicate the victim’s role, such as:

airplane

bicycle

boat

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

spacecraft

streetcar

tractor

train

tram

truck

van

watercraft

accident

collision

crash

wreck

NOS

classify the victim as an occupant or rider of the vehicle mentioned.

If more than one vehicle is mentioned, do not make any assumption as to which vehicle was occupied by the victim unless the vehicles are the same. Instead, code to the appropriate categories V87–V88, V90–V94, V95–V97, taking into account the order of precedence given in note 2 above.

5.  Where a transport accident, such as:

vehicle (motor)(nonmotor):

  • failing to make curve

  • going out of control (due to):

    • burst tyre [blowout]

    • driver falling asleep

    • driver inattention

    • excessive speed

    • failure of mechanical part

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

6.  Where a transport accident involving a vehicle in motion, such as:

accidental poisoning from exhaust gas generated by

breakage of any part of

explosion of any part of

fall, jump or being accidentally pushed from or restarting in

hit by object thrown into or onto

injured by being thrown against some part of, or object in

injury from moving part of

object falling in or on

vehicle in motion

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

7.  Land transport accidents described as:

collision (due to loss of control)(on highway) between vehicle and:

  • abutment(bridge)(overpass)

  • fallen stone

  • guard rail or boundary fence

  • inter-highway divider

  • landslide (not moving)

  • object thrown in front of motor vehicle

  • safety island

  • tree

  • traffic sign or marker (temporary)

  • utility pole

  • wall of cut made for road

  • other object, fixed, movable or moving

are included in V17, V27, V37, V47, V57, V67 and V77

overturning (without collision) are included in V18, V28, V38, V48, V58, V68, and V78

collision with animal (herded)(unattended) are included in V10, V20, V30, V40, V50, V60 and V70

collision with animal-drawn vehicle or animal being ridden are included in V16, V26, V36, V46, V56, V66 and V76.

Occupant of pick-up truck or van injured in transport accident
(V50-V59)

Excl.:
heavy transport vehicle (V60-V69)
Modifiers

The following fourth-character subdivisions are for use with categories V50-V58:

Code Title
.0
Driver injured in nontraffic accident
.1
Passenger injured in nontraffic accident
.2
Person on outside of vehicle injured in nontraffic accident
.3
Unspecified occupant of pick-up truck or van injured in nontraffic accident
.4
Person injured while boarding or alighting
.5
Driver injured in traffic accident
.6
Passenger injured in traffic accident
.7
Person on outside of vehicle injured in traffic accident
.9
Unspecified occupant of pick-up truck or van injured in traffic accident

V50 Occupant of pick-up truck or van injured in collision with pedestrian or animal

Excl.:
collision with animal-drawn vehicle or animal being ridden (V56.-)

V51 Occupant of pick-up truck or van injured in collision with pedal cycle

V52 Occupant of pick-up truck or van injured in collision with two- or three-wheeled motor vehicle

V53 Occupant of pick-up truck or van injured in collision with car, pick-up truck or van

V54 Occupant of pick-up truck or van injured in collision with heavy transport vehicle or bus

V55 Occupant of pick-up truck or van injured in collision with railway train or railway vehicle

V56 Occupant of pick-up truck or van injured in collision with other nonmotor vehicle

Incl.:
collision with animal-drawn vehicle, animal being ridden, streetcar

V57 Occupant of pick-up truck or van injured in collision with fixed or stationary object

V58 Occupant of pick-up truck or van injured in noncollision transport accident

Incl.:
overturning:
  • NOS
  • without collision

V59 Occupant of pick-up truck or van injured in other and unspecified transport accidents

V59.0 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident
V59.1 Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident
V59.2 Unspecified occupant of pick-up truck or van injured in collision with other and unspecified motor vehicles in nontraffic accident
Incl.:
Collision NOS involving pick-up truck or van, nontraffic
V59.3 Occupant [any] of pick-up truck or van injured in unspecified nontraffic accident
Incl.:
Accident NOS involving pick-up truck or van, nontraffic
Occupant of pick-up truck or van injured in nontraffic accident NOS
V59.4 Driver injured in collision with other and unspecified motor vehicles in traffic accident
V59.5 Passenger injured in collision with other and unspecified motor vehicles in traffic accident
V59.6 Unspecified occupant of pick-up truck or van injured in collision with other and unspecified motor vehicles in traffic accident
Incl.:
Collision NOS involving pick-up truck or van (traffic)
V59.8 Occupant [any] of pick-up truck or van injured in other specified transport accidents
Incl.:
Trapped by door or other part of pick-up truck or van
V59.9 Occupant [any] of pick-up truck or van injured in unspecified traffic accident
Incl.:
Accident NOS involving pick-up truck or van

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Transport accidents
(V01-V99)

Note:

This section is structured in 12 groups. Those relating to land transport accidents (V01-V89) reflect the victim's mode of transport and are subdivided to identify the victim's "counterpart" or the type of event. The vehicle of which the injured person is an occupant is identified in the first two characters since it is seen as the most important factor to identify for prevention purposes.

Excl.:
accidents to persons engaged in the maintenance or repair of transport equipment or vehicle (not in motion) unless injured by another vehicle in motion (W00-X59)
accidents involving vehicles, but unrelated to the hazards associated with the means of transportation, e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm; finger crushed when shutting car door (W00-X59)
assault by crashing of motor vehicle (Y03)
event of undetermined intent (Y31-Y33)
intentional self-harm (X81-X83)
Introduction

Definitions related to transport accidents

(a)  A transport accident (V01–V99) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

(b)  A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic.

(c)  A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is assumed to have occurred on the public highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated.

(d)  A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway.

(e)  A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal.

Incl.:  person:

  • making adjustment to motor of vehicle

  • changing tyre of vehicle

  • on foot

user of a pedestrian conveyance such as:

  • baby carriage

  • ice-skates

  • perambulator

  • push-cart

  • push-chair

  • roller-skates

  • scooter

  • skateboard

  • skis

  • sled

  • wheelchair (powered)

(f)  A driver is an occupant of a transport vehicle who is operating or intending to operate it.

(g)  A passenger is any occupant of a transport vehicle other than the driver.

Excl.:  person travelling on outside of vehicle – see definition (h)

(h)  A person on outside of vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property.

Incl.:  person (travelling on):

  • bodywork

  • bumper [fender]

  • hanging on outside

  • roof (rack)

  • running-board

  • step

(i)  A pedal cycle is any land transport vehicle operated solely by pedals.

Incl.:  bicycle

tricycle

Excl.:  motorized bicycle – see definition (k)

(j)  A pedal cyclist is any person riding on a pedal cycle or in a sidecar or trailer attached to such a vehicle.

(k)  A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes with a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Incl.:  moped

motor scooter

motorcycle:

  • NOS

  • combination

  • with sidecar

motorized bicycle

speed-limited motor-driven cycle

Excl.:  motor-driven tricycle – see definition (m)

(l)  A motorcycle rider is any person riding on a motorcycle or in a sidecar or trailer attached to such a vehicle.

(m)  A three-wheeled motor vehicle is a motorized tricycle designed primarily for on- road use.

Incl.:  motor-driven tricycle

motorized rickshaw

three-wheeled motor car

Excl.:  motorcycle with sidecar – see definition (k)

special all-terrain vehicle – see definition (x)

(n)  A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 10 persons. A trailer or caravan being towed by a car is considered a part of the car.

Incl.:  minibus

(o)  A motor vehicle or vehicle may refer to various transport vehicles. The local usage of the terms should be established to determine the appropriate code. If the terms are used ambiguously, use the code for “unspecified”. A trailer or caravan being towed by a vehicle is considered a part of the vehicle.

(p)  A pick-up truck or van is a four- or six-wheeled motor vehicle designed primarily for carrying property, weighing less than the local limit for classification as a heavy goods vehicle, and not requiring a special driver’s licence.

(q)  A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of kerbside weight (usually above 3500 kg), and requiring a special driver’s licence.

(r)  A bus is a motor vehicle designed or adapted primarily for carrying more than 10 persons, and requiring a special driver’s licence.

Incl.:  coach

(s)  A railway train or railway vehicle is any device, with or without cars coupled to it, designed for traffic on a railway.

Incl.:  interurban:

  • electric car (operated chiefly on its own right-of-way, not open to other traffic)

  • street car (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel] [electric] [steam]:

  • funicular

  • monorail or two-rail

  • subterranean or elevated

other vehicle designed to run on a railway track

Excl.:  interurban electric cars [streetcars] specified to be operating on a right-of- way that forms part of the public street or highway – see definition (t)

(t)  A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the roadway. A trailer being towed by a streetcar is considered a part of the streetcar.

Incl.:  interurban electric car or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(u)  A special vehicle mainly used on industrial premises is a motor vehicle designed primarily for use within the buildings and premises of industrial or commercial establishments.

Incl.:  battery-powered:

  • airport passenger vehicle

  • truck (baggage)(mail)

coal-car in mine

forklift (truck)

logging car

self-propelled truck, industrial

station baggage truck (powered)

tram, truck or tub (powered) in mine or quarry

(v)  A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use in farming and agriculture (horticulture), for example to work the land, tend and harvest crops and transport materials on the farm.

Incl.:  combine harvester

self-propelled farm machinery

tractor (and trailer)

(w)  A special construction vehicle is a motor vehicle designed specifically for use in the construction (and demolition) of roads, buildings and other structures.

Incl.:  bulldozer

digger

dumper truck

earth-leveller

mechanical shovel

road-roller

(x)  A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tyres, tracks, and support on a cushion of air.

Incl.:  hovercraft on land or swamp

snowmobile

Excl.:  hovercraft on open water – see definition (y)

(y)  A watercraft is any device for transporting passengers or goods on water.

Incl.:  hovercraft NOS

(z)  An aircraft is any device for transporting passengers or goods in the air.

Classification and coding instructions for transport accidents

1.  If an event is unspecified as to whether it was a traffic or a nontraffic accident, it is assumed to be:

  1. A traffic accident when the event is classifiable to categories V10–V82 and V87.

  2. A nontraffic accident when the event is classifiable to categories V83–V86. For these categories the victim is either a pedestrian, or an occupant of a vehicle designed primarily for off-road use.

2.  When accidents involving more than one kind of transport are reported, the following order of precedence should be used:

aircraft and spacecraft (V95–V97)

watercraft (V90–V94)

other modes of transport (V01–V89, V98–V99)

3.  Where transport accident descriptions do not specify the victim as being a vehicle occupant and the victim is described as:

crushed

dragged

hit

injured

killed

knocked down

run over

by any vehicle including

animal being ridden

animal-drawn vehicle

bicycle

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

streetcar

tractor

train

tram

truck

van

classify the victim as a pedestrian (categories V01–V09).

4.  Where transport accident descriptions do not indicate the victim’s role, such as:

airplane

bicycle

boat

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

spacecraft

streetcar

tractor

train

tram

truck

van

watercraft

accident

collision

crash

wreck

NOS

classify the victim as an occupant or rider of the vehicle mentioned.

If more than one vehicle is mentioned, do not make any assumption as to which vehicle was occupied by the victim unless the vehicles are the same. Instead, code to the appropriate categories V87–V88, V90–V94, V95–V97, taking into account the order of precedence given in note 2 above.

5.  Where a transport accident, such as:

vehicle (motor)(nonmotor):

  • failing to make curve

  • going out of control (due to):

    • burst tyre [blowout]

    • driver falling asleep

    • driver inattention

    • excessive speed

    • failure of mechanical part

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

6.  Where a transport accident involving a vehicle in motion, such as:

accidental poisoning from exhaust gas generated by

breakage of any part of

explosion of any part of

fall, jump or being accidentally pushed from or restarting in

hit by object thrown into or onto

injured by being thrown against some part of, or object in

injury from moving part of

object falling in or on

vehicle in motion

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

7.  Land transport accidents described as:

collision (due to loss of control)(on highway) between vehicle and:

  • abutment(bridge)(overpass)

  • fallen stone

  • guard rail or boundary fence

  • inter-highway divider

  • landslide (not moving)

  • object thrown in front of motor vehicle

  • safety island

  • tree

  • traffic sign or marker (temporary)

  • utility pole

  • wall of cut made for road

  • other object, fixed, movable or moving

are included in V17, V27, V37, V47, V57, V67 and V77

overturning (without collision) are included in V18, V28, V38, V48, V58, V68, and V78

collision with animal (herded)(unattended) are included in V10, V20, V30, V40, V50, V60 and V70

collision with animal-drawn vehicle or animal being ridden are included in V16, V26, V36, V46, V56, V66 and V76.

Occupant of heavy transport vehicle injured in transport accident
(V60-V69)

Modifiers

The following fourth-character subdivisions are for use with categories V60-V68:

Code Title
.0
Driver injured in nontraffic accident
.1
Passenger injured in nontraffic accident
.2
Person on outside of vehicle injured in nontraffic accident
.3
Unspecified occupant of heavy transport vehicle injured in nontraffic accident
.4
Person injured while boarding or alighting
.5
Driver injured in traffic accident
.6
Passenger injured in traffic accident
.7
Person on outside of vehicle injured in traffic accident
.9
Unspecified occupant of heavy transport vehicle injured in traffic accident

V60 Occupant of heavy transport vehicle injured in collision with pedestrian or animal

Excl.:
collision with animal-drawn vehicle or animal being ridden (V66.-)

V61 Occupant of heavy transport vehicle injured in collision with pedal cycle

V62 Occupant of heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle

V63 Occupant of heavy transport vehicle injured in collision with car, pick-up truck or van

V64 Occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus

V65 Occupant of heavy transport vehicle injured in collision with railway train or railway vehicle

V66 Occupant of heavy transport vehicle injured in collision with other nonmotor vehicle

Incl.:
collision with animal-drawn vehicle, animal being ridden, streetcar

V67 Occupant of heavy transport vehicle injured in collision with fixed or stationary object

V68 Occupant of heavy transport vehicle injured in noncollision transport accident

Incl.:
overturning:
  • NOS
  • without collision

V69 Occupant of heavy transport vehicle injured in other and unspecified transport accidents

V69.0 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident
V69.1 Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident
V69.2 Unspecified occupant of heavy transport vehicle injured in collision with other and unspecified motor vehicles in nontraffic accident
Incl.:
Collision NOS involving heavy transport vehicle, nontraffic
V69.3 Occupant [any] of heavy transport vehicle injured in unspecified nontraffic accident
Incl.:
Accident NOS involving heavy transport vehicle, nontraffic
Occupant of heavy transport vehicle injured in nontraffic accident NOS
V69.4 Driver injured in collision with other and unspecified motor vehicles in traffic accident
V69.5 Passenger injured in collision with other and unspecified motor vehicles in traffic accident
V69.6 Unspecified occupant of heavy transport vehicle injured in collision with other and unspecified motor vehicles in traffic accident
Incl.:
Collision NOS involving heavy transport vehicle (traffic)
V69.8 Occupant [any] of heavy transport vehicle injured in other specified transport accidents
Incl.:
Trapped by door or other part of heavy transport vehicle
V69.9 Occupant [any] of heavy transport vehicle injured in unspecified traffic accident
Incl.:
Accident NOS involving heavy transport vehicle

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Transport accidents
(V01-V99)

Note:

This section is structured in 12 groups. Those relating to land transport accidents (V01-V89) reflect the victim's mode of transport and are subdivided to identify the victim's "counterpart" or the type of event. The vehicle of which the injured person is an occupant is identified in the first two characters since it is seen as the most important factor to identify for prevention purposes.

Excl.:
accidents to persons engaged in the maintenance or repair of transport equipment or vehicle (not in motion) unless injured by another vehicle in motion (W00-X59)
accidents involving vehicles, but unrelated to the hazards associated with the means of transportation, e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm; finger crushed when shutting car door (W00-X59)
assault by crashing of motor vehicle (Y03)
event of undetermined intent (Y31-Y33)
intentional self-harm (X81-X83)
Introduction

Definitions related to transport accidents

(a)  A transport accident (V01–V99) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

(b)  A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic.

(c)  A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is assumed to have occurred on the public highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated.

(d)  A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway.

(e)  A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal.

Incl.:  person:

  • making adjustment to motor of vehicle

  • changing tyre of vehicle

  • on foot

user of a pedestrian conveyance such as:

  • baby carriage

  • ice-skates

  • perambulator

  • push-cart

  • push-chair

  • roller-skates

  • scooter

  • skateboard

  • skis

  • sled

  • wheelchair (powered)

(f)  A driver is an occupant of a transport vehicle who is operating or intending to operate it.

(g)  A passenger is any occupant of a transport vehicle other than the driver.

Excl.:  person travelling on outside of vehicle – see definition (h)

(h)  A person on outside of vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property.

Incl.:  person (travelling on):

  • bodywork

  • bumper [fender]

  • hanging on outside

  • roof (rack)

  • running-board

  • step

(i)  A pedal cycle is any land transport vehicle operated solely by pedals.

Incl.:  bicycle

tricycle

Excl.:  motorized bicycle – see definition (k)

(j)  A pedal cyclist is any person riding on a pedal cycle or in a sidecar or trailer attached to such a vehicle.

(k)  A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes with a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Incl.:  moped

motor scooter

motorcycle:

  • NOS

  • combination

  • with sidecar

motorized bicycle

speed-limited motor-driven cycle

Excl.:  motor-driven tricycle – see definition (m)

(l)  A motorcycle rider is any person riding on a motorcycle or in a sidecar or trailer attached to such a vehicle.

(m)  A three-wheeled motor vehicle is a motorized tricycle designed primarily for on- road use.

Incl.:  motor-driven tricycle

motorized rickshaw

three-wheeled motor car

Excl.:  motorcycle with sidecar – see definition (k)

special all-terrain vehicle – see definition (x)

(n)  A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 10 persons. A trailer or caravan being towed by a car is considered a part of the car.

Incl.:  minibus

(o)  A motor vehicle or vehicle may refer to various transport vehicles. The local usage of the terms should be established to determine the appropriate code. If the terms are used ambiguously, use the code for “unspecified”. A trailer or caravan being towed by a vehicle is considered a part of the vehicle.

(p)  A pick-up truck or van is a four- or six-wheeled motor vehicle designed primarily for carrying property, weighing less than the local limit for classification as a heavy goods vehicle, and not requiring a special driver’s licence.

(q)  A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of kerbside weight (usually above 3500 kg), and requiring a special driver’s licence.

(r)  A bus is a motor vehicle designed or adapted primarily for carrying more than 10 persons, and requiring a special driver’s licence.

Incl.:  coach

(s)  A railway train or railway vehicle is any device, with or without cars coupled to it, designed for traffic on a railway.

Incl.:  interurban:

  • electric car (operated chiefly on its own right-of-way, not open to other traffic)

  • street car (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel] [electric] [steam]:

  • funicular

  • monorail or two-rail

  • subterranean or elevated

other vehicle designed to run on a railway track

Excl.:  interurban electric cars [streetcars] specified to be operating on a right-of- way that forms part of the public street or highway – see definition (t)

(t)  A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the roadway. A trailer being towed by a streetcar is considered a part of the streetcar.

Incl.:  interurban electric car or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(u)  A special vehicle mainly used on industrial premises is a motor vehicle designed primarily for use within the buildings and premises of industrial or commercial establishments.

Incl.:  battery-powered:

  • airport passenger vehicle

  • truck (baggage)(mail)

coal-car in mine

forklift (truck)

logging car

self-propelled truck, industrial

station baggage truck (powered)

tram, truck or tub (powered) in mine or quarry

(v)  A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use in farming and agriculture (horticulture), for example to work the land, tend and harvest crops and transport materials on the farm.

Incl.:  combine harvester

self-propelled farm machinery

tractor (and trailer)

(w)  A special construction vehicle is a motor vehicle designed specifically for use in the construction (and demolition) of roads, buildings and other structures.

Incl.:  bulldozer

digger

dumper truck

earth-leveller

mechanical shovel

road-roller

(x)  A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tyres, tracks, and support on a cushion of air.

Incl.:  hovercraft on land or swamp

snowmobile

Excl.:  hovercraft on open water – see definition (y)

(y)  A watercraft is any device for transporting passengers or goods on water.

Incl.:  hovercraft NOS

(z)  An aircraft is any device for transporting passengers or goods in the air.

Classification and coding instructions for transport accidents

1.  If an event is unspecified as to whether it was a traffic or a nontraffic accident, it is assumed to be:

  1. A traffic accident when the event is classifiable to categories V10–V82 and V87.

  2. A nontraffic accident when the event is classifiable to categories V83–V86. For these categories the victim is either a pedestrian, or an occupant of a vehicle designed primarily for off-road use.

2.  When accidents involving more than one kind of transport are reported, the following order of precedence should be used:

aircraft and spacecraft (V95–V97)

watercraft (V90–V94)

other modes of transport (V01–V89, V98–V99)

3.  Where transport accident descriptions do not specify the victim as being a vehicle occupant and the victim is described as:

crushed

dragged

hit

injured

killed

knocked down

run over

by any vehicle including

animal being ridden

animal-drawn vehicle

bicycle

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

streetcar

tractor

train

tram

truck

van

classify the victim as a pedestrian (categories V01–V09).

4.  Where transport accident descriptions do not indicate the victim’s role, such as:

airplane

bicycle

boat

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

spacecraft

streetcar

tractor

train

tram

truck

van

watercraft

accident

collision

crash

wreck

NOS

classify the victim as an occupant or rider of the vehicle mentioned.

If more than one vehicle is mentioned, do not make any assumption as to which vehicle was occupied by the victim unless the vehicles are the same. Instead, code to the appropriate categories V87–V88, V90–V94, V95–V97, taking into account the order of precedence given in note 2 above.

5.  Where a transport accident, such as:

vehicle (motor)(nonmotor):

  • failing to make curve

  • going out of control (due to):

    • burst tyre [blowout]

    • driver falling asleep

    • driver inattention

    • excessive speed

    • failure of mechanical part

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

6.  Where a transport accident involving a vehicle in motion, such as:

accidental poisoning from exhaust gas generated by

breakage of any part of

explosion of any part of

fall, jump or being accidentally pushed from or restarting in

hit by object thrown into or onto

injured by being thrown against some part of, or object in

injury from moving part of

object falling in or on

vehicle in motion

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

7.  Land transport accidents described as:

collision (due to loss of control)(on highway) between vehicle and:

  • abutment(bridge)(overpass)

  • fallen stone

  • guard rail or boundary fence

  • inter-highway divider

  • landslide (not moving)

  • object thrown in front of motor vehicle

  • safety island

  • tree

  • traffic sign or marker (temporary)

  • utility pole

  • wall of cut made for road

  • other object, fixed, movable or moving

are included in V17, V27, V37, V47, V57, V67 and V77

overturning (without collision) are included in V18, V28, V38, V48, V58, V68, and V78

collision with animal (herded)(unattended) are included in V10, V20, V30, V40, V50, V60 and V70

collision with animal-drawn vehicle or animal being ridden are included in V16, V26, V36, V46, V56, V66 and V76.

Bus occupant injured in transport accident
(V70-V79)

Excl.:
minibus (V40-V49)
Modifiers

The following fourth-character subdivisions are for use with categories V70-V78:

Code Title
.0
Driver injured in nontraffic accident
.1
Passenger injured in nontraffic accident
.2
Person on outside of vehicle injured in nontraffic accident
.3
Unspecified bus occupant injured in nontraffic accident
.4
Person injured while boarding or alighting
.5
Driver injured in traffic accident
.6
Passenger injured in traffic accident
.7
Person on outside of vehicle injured in traffic accident
.9
Unspecified bus occupant injured in traffic accident

V70 Bus occupant injured in collision with pedestrian or animal

Excl.:
collision with animal-drawn vehicle or animal being ridden (V76.-)

V71 Bus occupant injured in collision with pedal cycle

V72 Bus occupant injured in collision with two- or three-wheeled motor vehicle

V73 Bus occupant injured in collision with car, pick-up truck or van

V74 Bus occupant injured in collision with heavy transport vehicle or bus

V75 Bus occupant injured in collision with railway train or railway vehicle

V76 Bus occupant injured in collision with other nonmotor vehicle

Incl.:
collision with animal-drawn vehicle, animal being ridden, streetcar

V77 Bus occupant injured in collision with fixed or stationary object

V78 Bus occupant injured in noncollision transport accident

Incl.:
overturning:
  • NOS
  • without collision

V79 Bus occupant injured in other and unspecified transport accidents

V79.0 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident
V79.1 Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident
V79.2 Unspecified bus occupant injured in collision with other and unspecified motor vehicles in nontraffic accident
Incl.:
Bus collision NOS, nontraffic
V79.3 Bus occupant [any] injured in unspecified nontraffic accident
Incl.:
Bus accident NOS, nontraffic
Bus occupant injured in nontraffic accident NOS
V79.4 Driver injured in collision with other and unspecified motor vehicles in traffic accident
V79.5 Passenger injured in collision with other and unspecified motor vehicles in traffic accident
V79.6 Unspecified bus occupant injured in collision with other and unspecified motor vehicles in traffic accident
Incl.:
Bus collision NOS (traffic)
V79.8 Bus occupant [any] injured in other specified transport accidents
Incl.:
Trapped by door or other part of bus
V79.9 Bus occupant [any] injured in unspecified traffic accident
Incl.:
Bus accident NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Transport accidents
(V01-V99)

Note:

This section is structured in 12 groups. Those relating to land transport accidents (V01-V89) reflect the victim's mode of transport and are subdivided to identify the victim's "counterpart" or the type of event. The vehicle of which the injured person is an occupant is identified in the first two characters since it is seen as the most important factor to identify for prevention purposes.

Excl.:
accidents to persons engaged in the maintenance or repair of transport equipment or vehicle (not in motion) unless injured by another vehicle in motion (W00-X59)
accidents involving vehicles, but unrelated to the hazards associated with the means of transportation, e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm; finger crushed when shutting car door (W00-X59)
assault by crashing of motor vehicle (Y03)
event of undetermined intent (Y31-Y33)
intentional self-harm (X81-X83)
Introduction

Definitions related to transport accidents

(a)  A transport accident (V01–V99) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

(b)  A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic.

(c)  A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is assumed to have occurred on the public highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated.

(d)  A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway.

(e)  A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal.

Incl.:  person:

  • making adjustment to motor of vehicle

  • changing tyre of vehicle

  • on foot

user of a pedestrian conveyance such as:

  • baby carriage

  • ice-skates

  • perambulator

  • push-cart

  • push-chair

  • roller-skates

  • scooter

  • skateboard

  • skis

  • sled

  • wheelchair (powered)

(f)  A driver is an occupant of a transport vehicle who is operating or intending to operate it.

(g)  A passenger is any occupant of a transport vehicle other than the driver.

Excl.:  person travelling on outside of vehicle – see definition (h)

(h)  A person on outside of vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property.

Incl.:  person (travelling on):

  • bodywork

  • bumper [fender]

  • hanging on outside

  • roof (rack)

  • running-board

  • step

(i)  A pedal cycle is any land transport vehicle operated solely by pedals.

Incl.:  bicycle

tricycle

Excl.:  motorized bicycle – see definition (k)

(j)  A pedal cyclist is any person riding on a pedal cycle or in a sidecar or trailer attached to such a vehicle.

(k)  A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes with a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Incl.:  moped

motor scooter

motorcycle:

  • NOS

  • combination

  • with sidecar

motorized bicycle

speed-limited motor-driven cycle

Excl.:  motor-driven tricycle – see definition (m)

(l)  A motorcycle rider is any person riding on a motorcycle or in a sidecar or trailer attached to such a vehicle.

(m)  A three-wheeled motor vehicle is a motorized tricycle designed primarily for on- road use.

Incl.:  motor-driven tricycle

motorized rickshaw

three-wheeled motor car

Excl.:  motorcycle with sidecar – see definition (k)

special all-terrain vehicle – see definition (x)

(n)  A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 10 persons. A trailer or caravan being towed by a car is considered a part of the car.

Incl.:  minibus

(o)  A motor vehicle or vehicle may refer to various transport vehicles. The local usage of the terms should be established to determine the appropriate code. If the terms are used ambiguously, use the code for “unspecified”. A trailer or caravan being towed by a vehicle is considered a part of the vehicle.

(p)  A pick-up truck or van is a four- or six-wheeled motor vehicle designed primarily for carrying property, weighing less than the local limit for classification as a heavy goods vehicle, and not requiring a special driver’s licence.

(q)  A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of kerbside weight (usually above 3500 kg), and requiring a special driver’s licence.

(r)  A bus is a motor vehicle designed or adapted primarily for carrying more than 10 persons, and requiring a special driver’s licence.

Incl.:  coach

(s)  A railway train or railway vehicle is any device, with or without cars coupled to it, designed for traffic on a railway.

Incl.:  interurban:

  • electric car (operated chiefly on its own right-of-way, not open to other traffic)

  • street car (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel] [electric] [steam]:

  • funicular

  • monorail or two-rail

  • subterranean or elevated

other vehicle designed to run on a railway track

Excl.:  interurban electric cars [streetcars] specified to be operating on a right-of- way that forms part of the public street or highway – see definition (t)

(t)  A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the roadway. A trailer being towed by a streetcar is considered a part of the streetcar.

Incl.:  interurban electric car or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(u)  A special vehicle mainly used on industrial premises is a motor vehicle designed primarily for use within the buildings and premises of industrial or commercial establishments.

Incl.:  battery-powered:

  • airport passenger vehicle

  • truck (baggage)(mail)

coal-car in mine

forklift (truck)

logging car

self-propelled truck, industrial

station baggage truck (powered)

tram, truck or tub (powered) in mine or quarry

(v)  A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use in farming and agriculture (horticulture), for example to work the land, tend and harvest crops and transport materials on the farm.

Incl.:  combine harvester

self-propelled farm machinery

tractor (and trailer)

(w)  A special construction vehicle is a motor vehicle designed specifically for use in the construction (and demolition) of roads, buildings and other structures.

Incl.:  bulldozer

digger

dumper truck

earth-leveller

mechanical shovel

road-roller

(x)  A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tyres, tracks, and support on a cushion of air.

Incl.:  hovercraft on land or swamp

snowmobile

Excl.:  hovercraft on open water – see definition (y)

(y)  A watercraft is any device for transporting passengers or goods on water.

Incl.:  hovercraft NOS

(z)  An aircraft is any device for transporting passengers or goods in the air.

Classification and coding instructions for transport accidents

1.  If an event is unspecified as to whether it was a traffic or a nontraffic accident, it is assumed to be:

  1. A traffic accident when the event is classifiable to categories V10–V82 and V87.

  2. A nontraffic accident when the event is classifiable to categories V83–V86. For these categories the victim is either a pedestrian, or an occupant of a vehicle designed primarily for off-road use.

2.  When accidents involving more than one kind of transport are reported, the following order of precedence should be used:

aircraft and spacecraft (V95–V97)

watercraft (V90–V94)

other modes of transport (V01–V89, V98–V99)

3.  Where transport accident descriptions do not specify the victim as being a vehicle occupant and the victim is described as:

crushed

dragged

hit

injured

killed

knocked down

run over

by any vehicle including

animal being ridden

animal-drawn vehicle

bicycle

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

streetcar

tractor

train

tram

truck

van

classify the victim as a pedestrian (categories V01–V09).

4.  Where transport accident descriptions do not indicate the victim’s role, such as:

airplane

bicycle

boat

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

spacecraft

streetcar

tractor

train

tram

truck

van

watercraft

accident

collision

crash

wreck

NOS

classify the victim as an occupant or rider of the vehicle mentioned.

If more than one vehicle is mentioned, do not make any assumption as to which vehicle was occupied by the victim unless the vehicles are the same. Instead, code to the appropriate categories V87–V88, V90–V94, V95–V97, taking into account the order of precedence given in note 2 above.

5.  Where a transport accident, such as:

vehicle (motor)(nonmotor):

  • failing to make curve

  • going out of control (due to):

    • burst tyre [blowout]

    • driver falling asleep

    • driver inattention

    • excessive speed

    • failure of mechanical part

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

6.  Where a transport accident involving a vehicle in motion, such as:

accidental poisoning from exhaust gas generated by

breakage of any part of

explosion of any part of

fall, jump or being accidentally pushed from or restarting in

hit by object thrown into or onto

injured by being thrown against some part of, or object in

injury from moving part of

object falling in or on

vehicle in motion

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

7.  Land transport accidents described as:

collision (due to loss of control)(on highway) between vehicle and:

  • abutment(bridge)(overpass)

  • fallen stone

  • guard rail or boundary fence

  • inter-highway divider

  • landslide (not moving)

  • object thrown in front of motor vehicle

  • safety island

  • tree

  • traffic sign or marker (temporary)

  • utility pole

  • wall of cut made for road

  • other object, fixed, movable or moving

are included in V17, V27, V37, V47, V57, V67 and V77

overturning (without collision) are included in V18, V28, V38, V48, V58, V68, and V78

collision with animal (herded)(unattended) are included in V10, V20, V30, V40, V50, V60 and V70

collision with animal-drawn vehicle or animal being ridden are included in V16, V26, V36, V46, V56, V66 and V76.

V80 Animal-rider or occupant of animal-drawn vehicle injured in transport accident

V80.0 Rider or occupant injured by fall from or being thrown from animal or animal-drawn vehicle in noncollision accident
Incl.:
Overturning:
  • NOS
  • without collision
V80.1 Rider or occupant injured in collision with pedestrian or animal
Excl.:
collision with animal-drawn vehicle or animal being ridden (V80.7)
V80.2 Rider or occupant injured in collision with pedal cycle
V80.3 Rider or occupant injured in collision with two- or three-wheeled motor vehicle
V80.4 Rider or occupant injured in collision with car, pick-up truck, van, heavy transport vehicle or bus
V80.5 Rider or occupant injured in collision with other specified motor vehicle
V80.6 Rider or occupant injured in collision with railway train or railway vehicle
V80.7 Rider or occupant injured in collision with other nonmotor vehicle
Incl.:
Collision with:
  • animal being ridden
  • animal-drawn vehicle
  • streetcar
V80.8 Rider or occupant injured in collision with fixed or stationary object
V80.9 Rider or occupant injured in other and unspecified transport accidents
Incl.:
Animal-drawn vehicle accident NOS
Animal-rider accident NOS

V81 Occupant of railway train or railway vehicle injured in transport accident

Incl.:
person on outside of train
V81.0 Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident
V81.1 Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident
V81.2 Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock
V81.3 Occupant of railway train or railway vehicle injured in collision with other object
Incl.:
Railway collision NOS
V81.4 Person injured while boarding or alighting from railway train or railway vehicle
V81.5 Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle
Excl.:
fall:
  • during derailment:
  • while boarding or alighting (V81.4)
V81.6 Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle
Excl.:
fall:
  • during derailment:
  • while boarding or alighting (V81.4)
V81.7 Occupant of railway train or railway vehicle injured in derailment without antecedent collision
V81.8 Occupant of railway train or railway vehicle injured in other specified railway accidents
Incl.:
Explosion or fire
Hit by falling:
  • earth
  • rock
  • tree
Excl.:
derailment:
V81.9 Occupant of railway train or railway vehicle injured in unspecified railway accident
Incl.:
Railway accident NOS

V82 Occupant of streetcar injured in transport accident

Incl.:
person on outside of streetcar
V82.0 Occupant of streetcar injured in collision with motor vehicle in nontraffic accident
V82.1 Occupant of streetcar injured in collision with motor vehicle in traffic accident
V82.2 Occupant of streetcar injured in collision with or hit by rolling stock
V82.3 Occupant of streetcar injured in collision with other object
Excl.:
collision with animal-drawn vehicle or animal being ridden (V82.8)
V82.4 Person injured while boarding or alighting from streetcar
V82.5 Occupant of streetcar injured by fall in streetcar
Excl.:
fall:
V82.6 Occupant of streetcar injured by fall from streetcar
Excl.:
fall:
V82.7 Occupant of streetcar injured in derailment without antecedent collision
V82.8 Occupant of streetcar injured in other specified transport accidents
Incl.:
Collision with train or other nonmotor vehicle
V82.9 Occupant of streetcar injured in unspecified traffic accident
Incl.:
Streetcar accident NOS

V83 Occupant of special vehicle mainly used on industrial premises injured in transport accident

Excl.:
vehicle in stationary use or maintenance (W31)
V83.0 Driver of special industrial vehicle injured in traffic accident
V83.1 Passenger of special industrial vehicle injured in traffic accident
V83.2 Person on outside of special industrial vehicle injured in traffic accident
V83.3 Unspecified occupant of special industrial vehicle injured in traffic accident
V83.4 Person injured while boarding or alighting from special industrial vehicle
V83.5 Driver of special industrial vehicle injured in nontraffic accident
V83.6 Passenger of special industrial vehicle injured in nontraffic accident
V83.7 Person on outside of special industrial vehicle injured in nontraffic accident
V83.9 Unspecified occupant of special industrial vehicle injured in nontraffic accident
Incl.:
Special-industrial-vehicle accident NOS

V84 Occupant of special vehicle mainly used in agriculture injured in transport accident

Excl.:
vehicle in stationary use or maintenance (W30)
V84.0 Driver of special agricultural vehicle injured in traffic accident
V84.1 Passenger of special agricultural vehicle injured in traffic accident
V84.2 Person on outside of special agricultural vehicle injured in traffic accident
V84.3 Unspecified occupant of special agricultural vehicle injured in traffic accident
V84.4 Person injured while boarding or alighting from special agricultural vehicle
V84.5 Driver of special agricultural vehicle injured in nontraffic accident
V84.6 Passenger of special agricultural vehicle injured in nontraffic accident
V84.7 Person on outside of special agricultural vehicle injured in nontraffic accident
V84.9 Unspecified occupant of special agricultural vehicle injured in nontraffic accident
Incl.:
Special-agricultural-vehicle accident NOS

V85 Occupant of special construction vehicle injured in transport accident

Excl.:
vehicle in stationary use or maintenance (W31)
V85.0 Driver of special construction vehicle injured in traffic accident
V85.1 Passenger of special construction vehicle injured in traffic accident
V85.2 Person on outside of special construction vehicle injured in traffic accident
V85.3 Unspecified occupant of special construction vehicle injured in traffic accident
V85.4 Person injured while boarding or alighting from special construction vehicle
V85.5 Driver of special construction vehicle injured in nontraffic accident
V85.6 Passenger of special construction vehicle injured in nontraffic accident
V85.7 Person on outside of special construction vehicle injured in nontraffic accident
V85.9 Unspecified occupant of special construction vehicle injured in nontraffic accident
Incl.:
Special-construction-vehicle accident NOS

V86 Occupant of special all-terrain or other motor vehicle designed primarily for off-road use, injured in transport accident

Excl.:
vehicle in stationary use or maintenance (W31)
V86.0 Driver of all-terrain or other off-road motor vehicle injured in traffic accident
V86.1 Passenger of all-terrain or other off-road motor vehicle injured in traffic accident
V86.2 Person on outside of all-terrain or other off-road motor vehicle injured in traffic accident
V86.3 Unspecified occupant of all-terrain or other off-road motor vehicle injured in traffic accident
V86.4 Person injured while boarding or alighting from all-terrain or other off-road motor vehicle
V86.5 Driver of all-terrain or other off-road motor vehicle injured in nontraffic accident
V86.6 Passenger of all-terrain or other off-road motor vehicle injured in nontraffic accident
V86.7 Person on outside of all-terrain or other off-road motor vehicle injured in nontraffic accident
V86.9 Unspecified occupant of all-terrain or other off-road motor vehicle injured in nontraffic accident
Incl.:
All-terrain motor-vehicle accident NOS
Off-road motor-vehicle accident NOS

V87 Traffic accident of specified type but victim's mode of transport unknown

Excl.:
collision involving:
V87.0 Person injured in collision between car and two- or three-wheeled motor vehicle (traffic)
V87.1 Person injured in collision between other motor vehicle and two- or three-wheeled motor vehicle (traffic)
V87.2 Person injured in collision between car and pick-up truck or van (traffic)
V87.3 Person injured in collision between car and bus (traffic)
V87.4 Person injured in collision between car and heavy transport vehicle (traffic)
V87.5 Person injured in collision between heavy transport vehicle and bus (traffic)
V87.6 Person injured in collision between railway train or railway vehicle and car (traffic)
V87.7 Person injured in collision between other specified motor vehicles (traffic)
V87.8 Person injured in other specified noncollision transport accidents involving motor vehicle (traffic)
V87.9 Person injured in other specified (collision)(noncollision) transport accidents involving nonmotor vehicle (traffic)

V88 Nontraffic accident of specified type but victim's mode of transport unknown

Excl.:
collision involving:
V88.0 Person injured in collision between car and two- or three-wheeled motor vehicle, nontraffic
V88.1 Person injured in collision between other motor vehicle and two- or three-wheeled motor vehicle, nontraffic
V88.2 Person injured in collision between car and pick-up truck or van, nontraffic
V88.3 Person injured in collision between car and bus, nontraffic
V88.4 Person injured in collision between car and heavy transport vehicle, nontraffic
V88.5 Person injured in collision between heavy transport vehicle and bus, nontraffic
V88.6 Person injured in collision between railway train or railway vehicle and car, nontraffic
V88.7 Person injured in collision between other specified motor vehicles, nontraffic
V88.8 Person injured in other specified noncollision transport accidents involving motor vehicle, nontraffic
V88.9 Person injured in other specified (collision)(noncollision) transport accidents involving nonmotor vehicle, nontraffic

V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified

V89.0 Person injured in unspecified motor-vehicle accident, nontraffic
Incl.:
Motor-vehicle accident NOS, nontraffic
V89.1 Person injured in unspecified nonmotor-vehicle accident, nontraffic
Incl.:
Nonmotor-vehicle accident NOS (nontraffic)
V89.2 Person injured in unspecified motor-vehicle accident, traffic
Incl.:
Motor-vehicle accident [MVA] NOS
Road (traffic) accident [RTA] NOS
V89.3 Person injured in unspecified nonmotor-vehicle accident, traffic
Incl.:
Nonmotor-vehicle traffic accident NOS
V89.9 Person injured in unspecified vehicle accident
Incl.:
Collision NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Transport accidents
(V01-V99)

Note:

This section is structured in 12 groups. Those relating to land transport accidents (V01-V89) reflect the victim's mode of transport and are subdivided to identify the victim's "counterpart" or the type of event. The vehicle of which the injured person is an occupant is identified in the first two characters since it is seen as the most important factor to identify for prevention purposes.

Excl.:
accidents to persons engaged in the maintenance or repair of transport equipment or vehicle (not in motion) unless injured by another vehicle in motion (W00-X59)
accidents involving vehicles, but unrelated to the hazards associated with the means of transportation, e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm; finger crushed when shutting car door (W00-X59)
assault by crashing of motor vehicle (Y03)
event of undetermined intent (Y31-Y33)
intentional self-harm (X81-X83)
Introduction

Definitions related to transport accidents

(a)  A transport accident (V01–V99) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

(b)  A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic.

(c)  A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is assumed to have occurred on the public highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated.

(d)  A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway.

(e)  A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal.

Incl.:  person:

  • making adjustment to motor of vehicle

  • changing tyre of vehicle

  • on foot

user of a pedestrian conveyance such as:

  • baby carriage

  • ice-skates

  • perambulator

  • push-cart

  • push-chair

  • roller-skates

  • scooter

  • skateboard

  • skis

  • sled

  • wheelchair (powered)

(f)  A driver is an occupant of a transport vehicle who is operating or intending to operate it.

(g)  A passenger is any occupant of a transport vehicle other than the driver.

Excl.:  person travelling on outside of vehicle – see definition (h)

(h)  A person on outside of vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property.

Incl.:  person (travelling on):

  • bodywork

  • bumper [fender]

  • hanging on outside

  • roof (rack)

  • running-board

  • step

(i)  A pedal cycle is any land transport vehicle operated solely by pedals.

Incl.:  bicycle

tricycle

Excl.:  motorized bicycle – see definition (k)

(j)  A pedal cyclist is any person riding on a pedal cycle or in a sidecar or trailer attached to such a vehicle.

(k)  A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes with a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Incl.:  moped

motor scooter

motorcycle:

  • NOS

  • combination

  • with sidecar

motorized bicycle

speed-limited motor-driven cycle

Excl.:  motor-driven tricycle – see definition (m)

(l)  A motorcycle rider is any person riding on a motorcycle or in a sidecar or trailer attached to such a vehicle.

(m)  A three-wheeled motor vehicle is a motorized tricycle designed primarily for on- road use.

Incl.:  motor-driven tricycle

motorized rickshaw

three-wheeled motor car

Excl.:  motorcycle with sidecar – see definition (k)

special all-terrain vehicle – see definition (x)

(n)  A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 10 persons. A trailer or caravan being towed by a car is considered a part of the car.

Incl.:  minibus

(o)  A motor vehicle or vehicle may refer to various transport vehicles. The local usage of the terms should be established to determine the appropriate code. If the terms are used ambiguously, use the code for “unspecified”. A trailer or caravan being towed by a vehicle is considered a part of the vehicle.

(p)  A pick-up truck or van is a four- or six-wheeled motor vehicle designed primarily for carrying property, weighing less than the local limit for classification as a heavy goods vehicle, and not requiring a special driver’s licence.

(q)  A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of kerbside weight (usually above 3500 kg), and requiring a special driver’s licence.

(r)  A bus is a motor vehicle designed or adapted primarily for carrying more than 10 persons, and requiring a special driver’s licence.

Incl.:  coach

(s)  A railway train or railway vehicle is any device, with or without cars coupled to it, designed for traffic on a railway.

Incl.:  interurban:

  • electric car (operated chiefly on its own right-of-way, not open to other traffic)

  • street car (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel] [electric] [steam]:

  • funicular

  • monorail or two-rail

  • subterranean or elevated

other vehicle designed to run on a railway track

Excl.:  interurban electric cars [streetcars] specified to be operating on a right-of- way that forms part of the public street or highway – see definition (t)

(t)  A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the roadway. A trailer being towed by a streetcar is considered a part of the streetcar.

Incl.:  interurban electric car or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(u)  A special vehicle mainly used on industrial premises is a motor vehicle designed primarily for use within the buildings and premises of industrial or commercial establishments.

Incl.:  battery-powered:

  • airport passenger vehicle

  • truck (baggage)(mail)

coal-car in mine

forklift (truck)

logging car

self-propelled truck, industrial

station baggage truck (powered)

tram, truck or tub (powered) in mine or quarry

(v)  A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use in farming and agriculture (horticulture), for example to work the land, tend and harvest crops and transport materials on the farm.

Incl.:  combine harvester

self-propelled farm machinery

tractor (and trailer)

(w)  A special construction vehicle is a motor vehicle designed specifically for use in the construction (and demolition) of roads, buildings and other structures.

Incl.:  bulldozer

digger

dumper truck

earth-leveller

mechanical shovel

road-roller

(x)  A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tyres, tracks, and support on a cushion of air.

Incl.:  hovercraft on land or swamp

snowmobile

Excl.:  hovercraft on open water – see definition (y)

(y)  A watercraft is any device for transporting passengers or goods on water.

Incl.:  hovercraft NOS

(z)  An aircraft is any device for transporting passengers or goods in the air.

Classification and coding instructions for transport accidents

1.  If an event is unspecified as to whether it was a traffic or a nontraffic accident, it is assumed to be:

  1. A traffic accident when the event is classifiable to categories V10–V82 and V87.

  2. A nontraffic accident when the event is classifiable to categories V83–V86. For these categories the victim is either a pedestrian, or an occupant of a vehicle designed primarily for off-road use.

2.  When accidents involving more than one kind of transport are reported, the following order of precedence should be used:

aircraft and spacecraft (V95–V97)

watercraft (V90–V94)

other modes of transport (V01–V89, V98–V99)

3.  Where transport accident descriptions do not specify the victim as being a vehicle occupant and the victim is described as:

crushed

dragged

hit

injured

killed

knocked down

run over

by any vehicle including

animal being ridden

animal-drawn vehicle

bicycle

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

streetcar

tractor

train

tram

truck

van

classify the victim as a pedestrian (categories V01–V09).

4.  Where transport accident descriptions do not indicate the victim’s role, such as:

airplane

bicycle

boat

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

spacecraft

streetcar

tractor

train

tram

truck

van

watercraft

accident

collision

crash

wreck

NOS

classify the victim as an occupant or rider of the vehicle mentioned.

If more than one vehicle is mentioned, do not make any assumption as to which vehicle was occupied by the victim unless the vehicles are the same. Instead, code to the appropriate categories V87–V88, V90–V94, V95–V97, taking into account the order of precedence given in note 2 above.

5.  Where a transport accident, such as:

vehicle (motor)(nonmotor):

  • failing to make curve

  • going out of control (due to):

    • burst tyre [blowout]

    • driver falling asleep

    • driver inattention

    • excessive speed

    • failure of mechanical part

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

6.  Where a transport accident involving a vehicle in motion, such as:

accidental poisoning from exhaust gas generated by

breakage of any part of

explosion of any part of

fall, jump or being accidentally pushed from or restarting in

hit by object thrown into or onto

injured by being thrown against some part of, or object in

injury from moving part of

object falling in or on

vehicle in motion

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

7.  Land transport accidents described as:

collision (due to loss of control)(on highway) between vehicle and:

  • abutment(bridge)(overpass)

  • fallen stone

  • guard rail or boundary fence

  • inter-highway divider

  • landslide (not moving)

  • object thrown in front of motor vehicle

  • safety island

  • tree

  • traffic sign or marker (temporary)

  • utility pole

  • wall of cut made for road

  • other object, fixed, movable or moving

are included in V17, V27, V37, V47, V57, V67 and V77

overturning (without collision) are included in V18, V28, V38, V48, V58, V68, and V78

collision with animal (herded)(unattended) are included in V10, V20, V30, V40, V50, V60 and V70

collision with animal-drawn vehicle or animal being ridden are included in V16, V26, V36, V46, V56, V66 and V76.

Water transport accidents
(V90-V94)

Incl.:
watercraft accidents in the course of recreational activities
Modifiers

The following fourth-character subdivisions are for use with categories V90-V94:

Code Title
.0
Merchant ship
.1
Passenger ship
Incl.:
Ferry-boat
Liner
.2
Fishing boat
.3
Other powered watercraft
Incl.:
Hovercraft (on open water)
Jet skis
.4
Sailboat
Incl.:
Yacht
.5
Canoe or kayak
.6
Inflatable craft (nonpowered)
.7
Water-skis
.8
Other unpowered watercraft
Incl.:
Surf-board
Windsurfer
.9
Unspecified watercraft
Incl.:
Boat NOS
Ship NOS
Watercraft NOS

V90 Accident to watercraft causing drowning and submersion

Incl.:
drowning and submersion due to:
  • boat:
    • overturning
    • sinking
  • falling or jumping from:
    • burning ship
    • crushed watercraft
  • other accident to watercraft
Excl.:
water-transport-related drowning or submersion without accident to watercraft (V92.-)

V91 Accident to watercraft causing other injury

Incl.:
any injury except drowning and submersion as a result of an accident to watercraft
burned while ship on fire
crushed between colliding ships
crushed by lifeboat after abandoning ship
fall due to collision or other accident to watercraft
hit by falling object as a result of accident to watercraft
injured in watercraft accident involving collision of watercraft
struck by boat or part thereof after falling or jumping from damaged boat
Excl.:
burns from localized fire or explosion on board ship (V93.-)

V92 Water-transport-related drowning and submersion without accident to watercraft

Incl.:
drowning and submersion as a result of an accident, such as:
  • fall:
    • from gangplank
    • from ship
    • overboard
  • thrown overboard by motion of ship
  • washed overboard
Excl.:
drowning or submersion of swimmer or diver who voluntarily jumps from boat not involved in an accident (W69, W73)

V93 Accident on board watercraft without accident to watercraft, not causing drowning and submersion

Incl.:
accidental poisoning by gases or fumes on ship
atomic reactor malfunction in watercraft
crushed by falling object on ship
excessive heat in:
  • boiler room
  • engine room
  • evaporator room
  • fire room
explosion of boiler on steamship
fall from one level to another in watercraft
fall on stairs or ladders in watercraft
  • injuries in watercraft caused by:
    • deck
    • engine room
    • galley
    • laundry
    • loading
  • machinery
localized fire on ship
machinery accident in watercraft

V94 Other and unspecified water transport accidents

Incl.:
accident to nonoccupant of watercraft
hit by boat while water-skiing

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Transport accidents
(V01-V99)

Note:

This section is structured in 12 groups. Those relating to land transport accidents (V01-V89) reflect the victim's mode of transport and are subdivided to identify the victim's "counterpart" or the type of event. The vehicle of which the injured person is an occupant is identified in the first two characters since it is seen as the most important factor to identify for prevention purposes.

Excl.:
accidents to persons engaged in the maintenance or repair of transport equipment or vehicle (not in motion) unless injured by another vehicle in motion (W00-X59)
accidents involving vehicles, but unrelated to the hazards associated with the means of transportation, e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm; finger crushed when shutting car door (W00-X59)
assault by crashing of motor vehicle (Y03)
event of undetermined intent (Y31-Y33)
intentional self-harm (X81-X83)
Introduction

Definitions related to transport accidents

(a)  A transport accident (V01–V99) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

(b)  A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic.

(c)  A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is assumed to have occurred on the public highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated.

(d)  A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway.

(e)  A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal.

Incl.:  person:

  • making adjustment to motor of vehicle

  • changing tyre of vehicle

  • on foot

user of a pedestrian conveyance such as:

  • baby carriage

  • ice-skates

  • perambulator

  • push-cart

  • push-chair

  • roller-skates

  • scooter

  • skateboard

  • skis

  • sled

  • wheelchair (powered)

(f)  A driver is an occupant of a transport vehicle who is operating or intending to operate it.

(g)  A passenger is any occupant of a transport vehicle other than the driver.

Excl.:  person travelling on outside of vehicle – see definition (h)

(h)  A person on outside of vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property.

Incl.:  person (travelling on):

  • bodywork

  • bumper [fender]

  • hanging on outside

  • roof (rack)

  • running-board

  • step

(i)  A pedal cycle is any land transport vehicle operated solely by pedals.

Incl.:  bicycle

tricycle

Excl.:  motorized bicycle – see definition (k)

(j)  A pedal cyclist is any person riding on a pedal cycle or in a sidecar or trailer attached to such a vehicle.

(k)  A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes with a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Incl.:  moped

motor scooter

motorcycle:

  • NOS

  • combination

  • with sidecar

motorized bicycle

speed-limited motor-driven cycle

Excl.:  motor-driven tricycle – see definition (m)

(l)  A motorcycle rider is any person riding on a motorcycle or in a sidecar or trailer attached to such a vehicle.

(m)  A three-wheeled motor vehicle is a motorized tricycle designed primarily for on- road use.

Incl.:  motor-driven tricycle

motorized rickshaw

three-wheeled motor car

Excl.:  motorcycle with sidecar – see definition (k)

special all-terrain vehicle – see definition (x)

(n)  A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 10 persons. A trailer or caravan being towed by a car is considered a part of the car.

Incl.:  minibus

(o)  A motor vehicle or vehicle may refer to various transport vehicles. The local usage of the terms should be established to determine the appropriate code. If the terms are used ambiguously, use the code for “unspecified”. A trailer or caravan being towed by a vehicle is considered a part of the vehicle.

(p)  A pick-up truck or van is a four- or six-wheeled motor vehicle designed primarily for carrying property, weighing less than the local limit for classification as a heavy goods vehicle, and not requiring a special driver’s licence.

(q)  A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of kerbside weight (usually above 3500 kg), and requiring a special driver’s licence.

(r)  A bus is a motor vehicle designed or adapted primarily for carrying more than 10 persons, and requiring a special driver’s licence.

Incl.:  coach

(s)  A railway train or railway vehicle is any device, with or without cars coupled to it, designed for traffic on a railway.

Incl.:  interurban:

  • electric car (operated chiefly on its own right-of-way, not open to other traffic)

  • street car (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel] [electric] [steam]:

  • funicular

  • monorail or two-rail

  • subterranean or elevated

other vehicle designed to run on a railway track

Excl.:  interurban electric cars [streetcars] specified to be operating on a right-of- way that forms part of the public street or highway – see definition (t)

(t)  A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the roadway. A trailer being towed by a streetcar is considered a part of the streetcar.

Incl.:  interurban electric car or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(u)  A special vehicle mainly used on industrial premises is a motor vehicle designed primarily for use within the buildings and premises of industrial or commercial establishments.

Incl.:  battery-powered:

  • airport passenger vehicle

  • truck (baggage)(mail)

coal-car in mine

forklift (truck)

logging car

self-propelled truck, industrial

station baggage truck (powered)

tram, truck or tub (powered) in mine or quarry

(v)  A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use in farming and agriculture (horticulture), for example to work the land, tend and harvest crops and transport materials on the farm.

Incl.:  combine harvester

self-propelled farm machinery

tractor (and trailer)

(w)  A special construction vehicle is a motor vehicle designed specifically for use in the construction (and demolition) of roads, buildings and other structures.

Incl.:  bulldozer

digger

dumper truck

earth-leveller

mechanical shovel

road-roller

(x)  A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tyres, tracks, and support on a cushion of air.

Incl.:  hovercraft on land or swamp

snowmobile

Excl.:  hovercraft on open water – see definition (y)

(y)  A watercraft is any device for transporting passengers or goods on water.

Incl.:  hovercraft NOS

(z)  An aircraft is any device for transporting passengers or goods in the air.

Classification and coding instructions for transport accidents

1.  If an event is unspecified as to whether it was a traffic or a nontraffic accident, it is assumed to be:

  1. A traffic accident when the event is classifiable to categories V10–V82 and V87.

  2. A nontraffic accident when the event is classifiable to categories V83–V86. For these categories the victim is either a pedestrian, or an occupant of a vehicle designed primarily for off-road use.

2.  When accidents involving more than one kind of transport are reported, the following order of precedence should be used:

aircraft and spacecraft (V95–V97)

watercraft (V90–V94)

other modes of transport (V01–V89, V98–V99)

3.  Where transport accident descriptions do not specify the victim as being a vehicle occupant and the victim is described as:

crushed

dragged

hit

injured

killed

knocked down

run over

by any vehicle including

animal being ridden

animal-drawn vehicle

bicycle

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

streetcar

tractor

train

tram

truck

van

classify the victim as a pedestrian (categories V01–V09).

4.  Where transport accident descriptions do not indicate the victim’s role, such as:

airplane

bicycle

boat

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

spacecraft

streetcar

tractor

train

tram

truck

van

watercraft

accident

collision

crash

wreck

NOS

classify the victim as an occupant or rider of the vehicle mentioned.

If more than one vehicle is mentioned, do not make any assumption as to which vehicle was occupied by the victim unless the vehicles are the same. Instead, code to the appropriate categories V87–V88, V90–V94, V95–V97, taking into account the order of precedence given in note 2 above.

5.  Where a transport accident, such as:

vehicle (motor)(nonmotor):

  • failing to make curve

  • going out of control (due to):

    • burst tyre [blowout]

    • driver falling asleep

    • driver inattention

    • excessive speed

    • failure of mechanical part

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

6.  Where a transport accident involving a vehicle in motion, such as:

accidental poisoning from exhaust gas generated by

breakage of any part of

explosion of any part of

fall, jump or being accidentally pushed from or restarting in

hit by object thrown into or onto

injured by being thrown against some part of, or object in

injury from moving part of

object falling in or on

vehicle in motion

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

7.  Land transport accidents described as:

collision (due to loss of control)(on highway) between vehicle and:

  • abutment(bridge)(overpass)

  • fallen stone

  • guard rail or boundary fence

  • inter-highway divider

  • landslide (not moving)

  • object thrown in front of motor vehicle

  • safety island

  • tree

  • traffic sign or marker (temporary)

  • utility pole

  • wall of cut made for road

  • other object, fixed, movable or moving

are included in V17, V27, V37, V47, V57, V67 and V77

overturning (without collision) are included in V18, V28, V38, V48, V58, V68, and V78

collision with animal (herded)(unattended) are included in V10, V20, V30, V40, V50, V60 and V70

collision with animal-drawn vehicle or animal being ridden are included in V16, V26, V36, V46, V56, V66 and V76.

V95 Accident to powered aircraft causing injury to occupant

Incl.:
  • collision with any object, fixed, movable or moving
  • crash
  • explosion
  • fire
  • forced landing
  • of or on (powered) aircraft
V95.0 Helicopter accident injuring occupant
V95.1 Ultralight, microlight or powered-glider accident injuring occupant
V95.2 Accident to other private fixed-wing aircraft, injuring occupant
V95.3 Accident to commercial fixed-wing aircraft, injuring occupant
V95.4 Spacecraft accident injuring occupant
V95.8 Other aircraft accidents injuring occupant
V95.9 Unspecified aircraft accident injuring occupant
Incl.:
Aircraft accident NOS
Air transport accident NOS

V96 Accident to nonpowered aircraft causing injury to occupant

Incl.:
  • collision with any object, fixed, movable or moving
  • crash
  • explosion
  • fire
  • forced landing
  • of or on nonpowered aircraft
V96.0 Balloon accident injuring occupant
V96.1 Hang-glider accident injuring occupant
V96.2 Glider (nonpowered) accident injuring occupant
V96.8 Other nonpowered-aircraft accidents injuring occupant
Incl.:
Kite carrying a person
V96.9 Unspecified nonpowered-aircraft accident injuring occupant
Incl.:
Nonpowered-aircraft accident NOS

V97 Other specified air transport accidents

Incl.:
accidents to nonoccupants of aircraft
V97.0 Occupant of aircraft injured in other specified air transport accidents
Incl.:
Fall in, on or from aircraft in air transport accident
Excl.:
accident while boarding or alighting (V97.1)
V97.1 Person injured while boarding or alighting from aircraft
V97.2 Parachutist injured in air transport accident
Excl.:
person making descent after accident to aircraft (V95-V96)
V97.3 Person on ground injured in air transport accident
Incl.:
Hit by object falling from aircraft
Injured by rotating propeller
Sucked into jet
V97.8 Other air transport accidents, not elsewhere classified
Incl.:
Injury from machinery on aircraft
Excl.:
aircraft accident NOS (V95.9)
exposure to changes in air pressure during ascent or descent (W94)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Transport accidents
(V01-V99)

Note:

This section is structured in 12 groups. Those relating to land transport accidents (V01-V89) reflect the victim's mode of transport and are subdivided to identify the victim's "counterpart" or the type of event. The vehicle of which the injured person is an occupant is identified in the first two characters since it is seen as the most important factor to identify for prevention purposes.

Excl.:
accidents to persons engaged in the maintenance or repair of transport equipment or vehicle (not in motion) unless injured by another vehicle in motion (W00-X59)
accidents involving vehicles, but unrelated to the hazards associated with the means of transportation, e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm; finger crushed when shutting car door (W00-X59)
assault by crashing of motor vehicle (Y03)
event of undetermined intent (Y31-Y33)
intentional self-harm (X81-X83)
Introduction

Definitions related to transport accidents

(a)  A transport accident (V01–V99) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

(b)  A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic.

(c)  A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is assumed to have occurred on the public highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated.

(d)  A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway.

(e)  A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal.

Incl.:  person:

  • making adjustment to motor of vehicle

  • changing tyre of vehicle

  • on foot

user of a pedestrian conveyance such as:

  • baby carriage

  • ice-skates

  • perambulator

  • push-cart

  • push-chair

  • roller-skates

  • scooter

  • skateboard

  • skis

  • sled

  • wheelchair (powered)

(f)  A driver is an occupant of a transport vehicle who is operating or intending to operate it.

(g)  A passenger is any occupant of a transport vehicle other than the driver.

Excl.:  person travelling on outside of vehicle – see definition (h)

(h)  A person on outside of vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property.

Incl.:  person (travelling on):

  • bodywork

  • bumper [fender]

  • hanging on outside

  • roof (rack)

  • running-board

  • step

(i)  A pedal cycle is any land transport vehicle operated solely by pedals.

Incl.:  bicycle

tricycle

Excl.:  motorized bicycle – see definition (k)

(j)  A pedal cyclist is any person riding on a pedal cycle or in a sidecar or trailer attached to such a vehicle.

(k)  A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes with a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Incl.:  moped

motor scooter

motorcycle:

  • NOS

  • combination

  • with sidecar

motorized bicycle

speed-limited motor-driven cycle

Excl.:  motor-driven tricycle – see definition (m)

(l)  A motorcycle rider is any person riding on a motorcycle or in a sidecar or trailer attached to such a vehicle.

(m)  A three-wheeled motor vehicle is a motorized tricycle designed primarily for on- road use.

Incl.:  motor-driven tricycle

motorized rickshaw

three-wheeled motor car

Excl.:  motorcycle with sidecar – see definition (k)

special all-terrain vehicle – see definition (x)

(n)  A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 10 persons. A trailer or caravan being towed by a car is considered a part of the car.

Incl.:  minibus

(o)  A motor vehicle or vehicle may refer to various transport vehicles. The local usage of the terms should be established to determine the appropriate code. If the terms are used ambiguously, use the code for “unspecified”. A trailer or caravan being towed by a vehicle is considered a part of the vehicle.

(p)  A pick-up truck or van is a four- or six-wheeled motor vehicle designed primarily for carrying property, weighing less than the local limit for classification as a heavy goods vehicle, and not requiring a special driver’s licence.

(q)  A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of kerbside weight (usually above 3500 kg), and requiring a special driver’s licence.

(r)  A bus is a motor vehicle designed or adapted primarily for carrying more than 10 persons, and requiring a special driver’s licence.

Incl.:  coach

(s)  A railway train or railway vehicle is any device, with or without cars coupled to it, designed for traffic on a railway.

Incl.:  interurban:

  • electric car (operated chiefly on its own right-of-way, not open to other traffic)

  • street car (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel] [electric] [steam]:

  • funicular

  • monorail or two-rail

  • subterranean or elevated

other vehicle designed to run on a railway track

Excl.:  interurban electric cars [streetcars] specified to be operating on a right-of- way that forms part of the public street or highway – see definition (t)

(t)  A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the roadway. A trailer being towed by a streetcar is considered a part of the streetcar.

Incl.:  interurban electric car or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(u)  A special vehicle mainly used on industrial premises is a motor vehicle designed primarily for use within the buildings and premises of industrial or commercial establishments.

Incl.:  battery-powered:

  • airport passenger vehicle

  • truck (baggage)(mail)

coal-car in mine

forklift (truck)

logging car

self-propelled truck, industrial

station baggage truck (powered)

tram, truck or tub (powered) in mine or quarry

(v)  A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use in farming and agriculture (horticulture), for example to work the land, tend and harvest crops and transport materials on the farm.

Incl.:  combine harvester

self-propelled farm machinery

tractor (and trailer)

(w)  A special construction vehicle is a motor vehicle designed specifically for use in the construction (and demolition) of roads, buildings and other structures.

Incl.:  bulldozer

digger

dumper truck

earth-leveller

mechanical shovel

road-roller

(x)  A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tyres, tracks, and support on a cushion of air.

Incl.:  hovercraft on land or swamp

snowmobile

Excl.:  hovercraft on open water – see definition (y)

(y)  A watercraft is any device for transporting passengers or goods on water.

Incl.:  hovercraft NOS

(z)  An aircraft is any device for transporting passengers or goods in the air.

Classification and coding instructions for transport accidents

1.  If an event is unspecified as to whether it was a traffic or a nontraffic accident, it is assumed to be:

  1. A traffic accident when the event is classifiable to categories V10–V82 and V87.

  2. A nontraffic accident when the event is classifiable to categories V83–V86. For these categories the victim is either a pedestrian, or an occupant of a vehicle designed primarily for off-road use.

2.  When accidents involving more than one kind of transport are reported, the following order of precedence should be used:

aircraft and spacecraft (V95–V97)

watercraft (V90–V94)

other modes of transport (V01–V89, V98–V99)

3.  Where transport accident descriptions do not specify the victim as being a vehicle occupant and the victim is described as:

crushed

dragged

hit

injured

killed

knocked down

run over

by any vehicle including

animal being ridden

animal-drawn vehicle

bicycle

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

streetcar

tractor

train

tram

truck

van

classify the victim as a pedestrian (categories V01–V09).

4.  Where transport accident descriptions do not indicate the victim’s role, such as:

airplane

bicycle

boat

bulldozer

bus

car

motorcycle

motorized tricycle

pick-up (truck)

recreational vehicle

spacecraft

streetcar

tractor

train

tram

truck

van

watercraft

accident

collision

crash

wreck

NOS

classify the victim as an occupant or rider of the vehicle mentioned.

If more than one vehicle is mentioned, do not make any assumption as to which vehicle was occupied by the victim unless the vehicles are the same. Instead, code to the appropriate categories V87–V88, V90–V94, V95–V97, taking into account the order of precedence given in note 2 above.

5.  Where a transport accident, such as:

vehicle (motor)(nonmotor):

  • failing to make curve

  • going out of control (due to):

    • burst tyre [blowout]

    • driver falling asleep

    • driver inattention

    • excessive speed

    • failure of mechanical part

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

6.  Where a transport accident involving a vehicle in motion, such as:

accidental poisoning from exhaust gas generated by

breakage of any part of

explosion of any part of

fall, jump or being accidentally pushed from or restarting in

hit by object thrown into or onto

injured by being thrown against some part of, or object in

injury from moving part of

object falling in or on

vehicle in motion

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

7.  Land transport accidents described as:

collision (due to loss of control)(on highway) between vehicle and:

  • abutment(bridge)(overpass)

  • fallen stone

  • guard rail or boundary fence

  • inter-highway divider

  • landslide (not moving)

  • object thrown in front of motor vehicle

  • safety island

  • tree

  • traffic sign or marker (temporary)

  • utility pole

  • wall of cut made for road

  • other object, fixed, movable or moving

are included in V17, V27, V37, V47, V57, V67 and V77

overturning (without collision) are included in V18, V28, V38, V48, V58, V68, and V78

collision with animal (herded)(unattended) are included in V10, V20, V30, V40, V50, V60 and V70

collision with animal-drawn vehicle or animal being ridden are included in V16, V26, V36, V46, V56, V66 and V76.

Other and unspecified transport accidents
(V98-V99)

Excl.:
vehicle accident, type of vehicle unspecified (V89.-)

V98 Other specified transport accidents

Incl.:
accident to, on or involving:
  • cable-car, not on rails
  • ice-yacht
  • land-yacht
  • ski chair-lift
  • ski-lift with gondola
  • caught or dragged by
  • fall or jump from
  • object thrown from or in

V99 Unspecified transport accident

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VI
Diseases of the nervous system
(G00-G99)

Excl.:
certain conditions originating in the perinatal period (P00-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O99)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E90)
injury, poisoning and certain other consequences of external causes (S00-T98)
neoplasms (C00-D48)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
This chapter contains the following blocks:
  • G00-G09 Inflammatory diseases of the central nervous system
  • G10-G14 Systemic atrophies primarily affecting the central nervous system
  • G20-G26 Extrapyramidal and movement disorders
  • G30-G32 Other degenerative diseases of the nervous system
  • G35-G37 Demyelinating diseases of the central nervous system
  • G40-G47 Episodic and paroxysmal disorders
  • G50-G59 Nerve, nerve root and plexus disorders
  • G60-G64 Polyneuropathies and other disorders of the peripheral nervous system
  • G70-G73 Diseases of myoneural junction and muscle
  • G80-G83 Cerebral palsy and other paralytic syndromes
  • G90-G99 Other disorders of the nervous system
Asterisk categories for this chapter are provided as follows:
  • G01* Meningitis in bacterial diseases classified elsewhere
  • G02* Meningitis in other infectious and parasitic diseases classified elsewhere
  • G05* Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere
  • G07* Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere
  • G13* Systemic atrophies primarily affecting central nervous system in diseases classified elsewhere
  • G22* Parkinsonism in diseases classified elsewhere
  • G26* Extrapyramidal and movement disorders in diseases classified elsewhere
  • G32* Other degenerative disorders of nervous system in diseases classified elsewhere
  • G46* Vascular syndromes of brain in cerebrovascular diseases
  • G53* Cranial nerve disorders in diseases classified elsewhere
  • G55* Nerve root and plexus compressions in diseases classified elsewhere
  • G59* Mononeuropathy in diseases classified elsewhere
  • G63* Polyneuropathy in diseases classified elsewhere
  • G73* Disorders of myoneural junction and muscle in diseases classified elsewhere
  • G94* Other disorders of brain in diseases classified elsewhere
  • G99* Other disorders of nervous system in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VII
Diseases of the eye and adnexa
(H00-H59)

Excl.:
certain conditions originating in the perinatal period (P00-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O99)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E90)
injury, poisoning and certain other consequences of external causes (S00-T98)
neoplasms (C00-D48)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
This chapter contains the following blocks:
  • H00-H06 Disorders of eyelid, lacrimal system and orbit
  • H10-H13 Disorders of conjunctiva
  • H15-H22 Disorders of sclera, cornea, iris and ciliary body
  • H25-H28 Disorders of lens
  • H30-H36 Disorders of choroid and retina
  • H40-H42 Glaucoma
  • H43-H45 Disorders of vitreous body and globe
  • H46-H48 Disorders of optic nerve and visual pathways
  • H49-H52 Disorders of ocular muscles, binocular movement, accommodation and refraction
  • H53-H54 Visual disturbances and blindness
  • H55-H59 Other disorders of eye and adnexa
Asterisk categories for this chapter are provided as follows:
  • H03* Disorders of eyelid in diseases classified elsewhere
  • H06* Disorders of lacrimal system and orbit in diseases classified elsewhere
  • H13* Disorders of conjunctiva in diseases classified elsewhere
  • H19* Disorders of sclera and cornea in diseases classified elsewhere
  • H22* Disorders of iris and ciliary body in diseases classified elsewhere
  • H28* Cataract and other disorders of lens in diseases classified elsewhere
  • H32* Chorioretinal disorders in diseases classified elsewhere
  • H36* Retinal disorders in diseases classified elsewhere
  • H42* Glaucoma in diseases classified elsewhere
  • H45* Disorders of vitreous body and globe in diseases classified elsewhere
  • H48* Disorders of optic [2nd] nerve and visual pathways in diseases classified elsewhere
  • H58* Other disorders of eye and adnexa in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter VIII
Diseases of the ear and mastoid process
(H60-H95)

Excl.:
certain conditions originating in the perinatal period (P00-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O99)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E90)
injury, poisoning and certain other consequences of external causes (S00-T98)
neoplasms (C00-D48)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
This chapter contains the following blocks:
Asterisk categories for this chapter are provided as follows:
  • H62* Disorders of external ear in diseases classified elsewhere
  • H67* Otitis media in diseases classified elsewhere
  • H75* Other disorders of middle ear and mastoid in diseases classified elsewhere
  • H82* Vertiginous syndromes in diseases classified elsewhere
  • H94* Other disorders of ear in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Falls
(W00-W19)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity
Excl.:
assault (Y01-Y02)
fall (in)(from):
intentional self-harm (X80-X81)

W00 Fall on same level involving ice and snow

Excl.:
fall with mention of:
  • ice-skates and skis (W02)
  • stairs and steps (W10)

W01 Fall on same level from slipping, tripping and stumbling

Excl.:
fall involving ice or snow (W00)

W02 Fall involving ice-skates, skis, roller-skates or skateboards

W03 Other fall on same level due to collision with, or pushing by, another person

Incl.:
fall due to collision of pedestrian (conveyance) with another pedestrian (conveyance)
Excl.:
crushed or pushed by crowd or human stampede (W52)
fall involving ice or snow (W00)

W04 Fall while being carried or supported by other persons

Incl.:
accidentally dropped while being carried

W05 Fall involving wheelchair

W06 Fall involving bed

W07 Fall involving chair

W08 Fall involving other furniture

W09 Fall involving playground equipment

Excl.:
fall involving recreational machinery (W31)

W10 Fall on and from stairs and steps

Incl.:
fall (on)(from):
  • escalator
  • incline
  • involving ice or snow on stairs and steps
  • ramp

W11 Fall on and from ladder

W12 Fall on and from scaffolding

W13 Fall from, out of or through building or structure

Incl.:
fall from, out of or through:
  • balcony
  • bridge
  • building
  • flag-pole
  • floor
  • railing
  • roof
  • tower
  • turret
  • viaduct
  • wall
  • window
Excl.:
collapse of a building or structure (W20)
fall or jump from burning building or structure (X00)

W14 Fall from tree

W15 Fall from cliff

W16 Diving or jumping into water causing injury other than drowning or submersion

Incl.:
striking or hitting:
  • against bottom when jumping or diving into shallow water
  • wall or diving board of swimming-pool
  • water surface
Excl.:
accidental drowning and submersion (W65-W74)
diving with insufficient air supply (W81)
effects of air pressure from diving (W94)

W17 Other fall from one level to another

Incl.:
fall from or into:
  • cavity
  • cherry picker
  • dock
  • haystack
  • hole
  • lifting device
  • mobile elevated work platform [MEWP]
  • pit
  • quarry
  • shaft
  • sky lift
  • tank
  • well

W18 Other fall on same level

Incl.:
fall:
  • from bumping against object
  • from or off toilet
  • on same level NOS

W19 Unspecified fall

Incl.:
accidental fall NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Falls
(W00-W19)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity
Excl.:
assault (Y01-Y02)
fall (in)(from):
intentional self-harm (X80-X81)

W00 Fall on same level involving ice and snow

Excl.:
fall with mention of:
  • ice-skates and skis (W02)
  • stairs and steps (W10)

W01 Fall on same level from slipping, tripping and stumbling

Excl.:
fall involving ice or snow (W00)

W02 Fall involving ice-skates, skis, roller-skates or skateboards

W03 Other fall on same level due to collision with, or pushing by, another person

Incl.:
fall due to collision of pedestrian (conveyance) with another pedestrian (conveyance)
Excl.:
crushed or pushed by crowd or human stampede (W52)
fall involving ice or snow (W00)

W04 Fall while being carried or supported by other persons

Incl.:
accidentally dropped while being carried

W05 Fall involving wheelchair

W06 Fall involving bed

W07 Fall involving chair

W08 Fall involving other furniture

W09 Fall involving playground equipment

Excl.:
fall involving recreational machinery (W31)

W10 Fall on and from stairs and steps

Incl.:
fall (on)(from):
  • escalator
  • incline
  • involving ice or snow on stairs and steps
  • ramp

W11 Fall on and from ladder

W12 Fall on and from scaffolding

W13 Fall from, out of or through building or structure

Incl.:
fall from, out of or through:
  • balcony
  • bridge
  • building
  • flag-pole
  • floor
  • railing
  • roof
  • tower
  • turret
  • viaduct
  • wall
  • window
Excl.:
collapse of a building or structure (W20)
fall or jump from burning building or structure (X00)

W14 Fall from tree

W15 Fall from cliff

W16 Diving or jumping into water causing injury other than drowning or submersion

Incl.:
striking or hitting:
  • against bottom when jumping or diving into shallow water
  • wall or diving board of swimming-pool
  • water surface
Excl.:
accidental drowning and submersion (W65-W74)
diving with insufficient air supply (W81)
effects of air pressure from diving (W94)

W17 Other fall from one level to another

Incl.:
fall from or into:
  • cavity
  • cherry picker
  • dock
  • haystack
  • hole
  • lifting device
  • mobile elevated work platform [MEWP]
  • pit
  • quarry
  • shaft
  • sky lift
  • tank
  • well

W18 Other fall on same level

Incl.:
fall:
  • from bumping against object
  • from or off toilet
  • on same level NOS

W19 Unspecified fall

Incl.:
accidental fall NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Exposure to inanimate mechanical forces
(W20-W49)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity
Excl.:
assault (X85-Y09)
contact or collision with animals or persons (W50-W64)
intentional self-harm (X60-X84)

W20 Struck by thrown, projected or falling object

Incl.:
cave-in without asphyxiation or suffocation
collapse of building, except on fire
falling:
  • rock
  • stone
  • tree
Excl.:
collapse of burning building (X00)
falling object in:
object set in motion by:
sports equipment (W21)

W21 Striking against or struck by sports equipment

Incl.:
struck by:
  • hit or thrown ball
  • hockey stick or puck

W22 Striking against or struck by other objects

Incl.:
walked into wall

W23 Caught, crushed, jammed or pinched in or between objects

Incl.:
  • caught, crushed, jammed or pinched:
    • between:
      • moving objects
      • stationary and moving objects
    • in object
  • such as
  • folding object
  • sliding door and door-frame
  • packing crate and floor, after losing grip
  • washing-machine wringer
Excl.:
injury caused by:
  • cutting or piercing instruments (W25-W27)
  • lifting and transmission devices (W24)
  • machinery (W28-W31)
  • nonpowered hand tools (W27)
  • transport vehicle being used as a means of transportation (V01-V99)
struck by thrown, projected or falling object (W20)

W24 Contact with lifting and transmission devices, not elsewhere classified

Incl.:
chain hoist
drive belt
pulley (block)
rope
transmission belt or cable
winch
wire
Excl.:
transport accidents (V01-V99)

W25 Contact with sharp glass

Excl.:
fall involving glass (W00-W19)
flying glass due to explosion or firearm discharge (W32-W40)
glass embedded in skin (W45)

W26 Contact with other sharp object(s)

W26.0 Contact with knife, sword or dagger
W26.8 Contact with other sharp object(s), not elsewhere classified
Incl.:
Edge of stiff paper
Tin can lid
W26.9 Contact with unspecified sharp object(s)

W27 Contact with nonpowered hand tool

Incl.:
axe
can-opener NOS
chisel
fork
handsaw
hoe
ice-pick
needle
paper-cutter
pitchfork
rake
scissors
screwdriver
sewing-machine, nonpowered
shovel
Excl.:
hypodermic needle (W46)

W28 Contact with powered lawnmower

Excl.:
exposure to electric current (W86)

W29 Contact with other powered hand tools and household machinery

Incl.:
blender
powered:
  • can-opener
  • chain-saw
  • do-it-yourself tool
  • garden tool
  • hedge-trimmer
  • knife
  • sewing-machine
  • spin-drier
washing-machine
Excl.:
exposure to electric current (W86)

W30 Contact with agricultural machinery

Incl.:
animal-powered farm machine
combine harvester
derrick, hay
farm machinery NOS
reaper
thresher
Excl.:
contact with agricultural machinery in transport under own power or being towed by a vehicle (V01-V99)
exposure to electric current (W86)

W31 Contact with other and unspecified machinery

Incl.:
machine NOS
recreational machinery
Excl.:
contact with machinery in transport under own power or being towed by a vehicle (V01-V99)
exposure to electric current (W86)

W32 Handgun discharge

Incl.:
gun for single hand use
pistol
revolver
Excl.:
Very pistol (W34)

W33 Rifle, shotgun and larger firearm discharge

Incl.:
army rifle
hunting rifle
machine gun
Excl.:
airgun (W34)

W34 Discharge from other and unspecified firearms

Incl.:
airgun
BB gun
gunshot wound NOS
shot NOS
Very pistol [flare]

W35 Explosion and rupture of boiler

W36 Explosion and rupture of gas cylinder

Incl.:
aerosol can
air tank
pressurized-gas tank

W37 Explosion and rupture of pressurized tyre, pipe or hose

W38 Explosion and rupture of other specified pressurized devices

W39 Discharge of firework

W40 Explosion of other materials

Incl.:
blasting material
explosion (in):
  • NOS
  • dump
  • factory
  • grain store
  • munitions
explosive gas

W41 Exposure to high-pressure jet

Incl.:
hydraulic jet
pneumatic jet

W42 Exposure to noise

Incl.:
sound waves
supersonic waves

W43 Exposure to vibration

Incl.:
infrasound waves

W44 Foreign body entering into or through eye or natural orifice

Excl.:
corrosive fluid (X49)
inhalation or ingestion of foreign body with obstruction of respiratory tract (W78-W80)

W45 Foreign body or object entering through skin

Incl.:
edge of stiff paper
nail
splinter
tin-can lid
Excl.:
contact with:
  • hand tools (nonpowered)(powered) (W27-W29)
  • hypodermic needle (W46)
  • other sharp objects (W26.-)
  • sharp glass (W25)
struck by objects (W20-W22)

W46 Contact with hypodermic needle

W49 Exposure to other and unspecified inanimate mechanical forces

Incl.:
abnormal gravitational [G] forces

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Exposure to animate mechanical forces
(W50-W64)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity
Excl.:
bites, venomous (X20-X29)
stings (venomous) (X20-X29)

W50 Hit, struck, kicked, twisted, bitten or scratched by another person

Excl.:
assault (X85-Y09)
struck by objects (W20-W22)

W51 Striking against or bumped into by another person

Excl.:
fall due to collision of pedestrian (conveyance) with another pedestrian (conveyance) (W03)

W52 Crushed, pushed or stepped on by crowd or human stampede

W53 Bitten by rat

W54 Bitten or struck by dog

W55 Bitten or struck by other mammals

Excl.:
contact with marine mammal (W56)

W56 Contact with marine animal

Incl.:
Bitten or struck by marine animal

W57 Bitten or stung by nonvenomous insect and other nonvenomous arthropods

W58 Bitten or struck by crocodile or alligator

W59 Bitten or crushed by other reptiles

Incl.:
lizard
snake, nonvenomous

W60 Contact with plant thorns and spines and sharp leaves

W64 Exposure to other and unspecified animate mechanical forces

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Accidental drowning and submersion
(W65-W74)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity
Excl.:
drowning and submersion due to:

W65 Drowning and submersion while in bath-tub

W66 Drowning and submersion following fall into bath-tub

W67 Drowning and submersion while in swimming-pool

W68 Drowning and submersion following fall into swimming-pool

W69 Drowning and submersion while in natural water

Incl.:
lake
open sea
river
stream

W70 Drowning and submersion following fall into natural water

W73 Other specified drowning and submersion

Incl.:
quenching tank
reservoir

W74 Unspecified drowning and submersion

Incl.:
drowning NOS
fall into water NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Other accidental threats to breathing
(W75-W84)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity

W75 Accidental suffocation and strangulation in bed

Incl.:
suffocation and strangulation due to:
  • bed linen
  • mother's body
  • pillow

W76 Other accidental hanging and strangulation

W77 Threat to breathing due to cave-in, falling earth and other substances

Incl.:
cave-in NOS
Excl.:
cave-in caused by cataclysm (X34-X39)
cave-in without asphyxiation or suffocation (W20)

W78 Inhalation of gastric contents

Incl.:
  • asphyxia by
  • choked on
  • suffocation by
  • vomitus [regurgitated food]
aspiration and inhalation of vomitus (into respiratory tract) NOS
  • compression of trachea
  • interruption of respiration
  • obstruction of respiration
  • by vomitus in oesophagus
Excl.:
injury, except asphyxia or obstruction of respiratory tract, caused by vomitus (W44)
obstruction of oesophagus by vomitus without mention of asphyxia or obstruction of respiratory tract (W44)

W79 Inhalation and ingestion of food causing obstruction of respiratory tract

Incl.:
  • asphyxia by
  • choked on
  • suffocation by
  • food [including bone or seed]
aspiration and inhalation of food [any] (into respiratory tract) NOS
  • compression of trachea
  • interruption of respiration
  • obstruction of respiration
  • by food in oesophagus
obstruction of pharynx by food (bolus)
Excl.:
inhalation of vomitus (W78)
injury, except asphyxia or obstruction of respiratory tract, caused by food (W44)
obstruction of oesophagus by food without mention of asphyxia or obstruction of respiratory tract (W44)

W80 Inhalation and ingestion of other objects causing obstruction of respiratory tract

Incl.:
  • asphyxia by
  • choked on
  • suffocation by
  • any object, except food or vomitus, entering by nose or mouth
aspiration NOS
aspiration and inhalation of foreign body, except food or vomitus (into respiratory tract), NOS
  • compression of trachea
  • interruption of respiration
  • obstruction of respiration
  • by foreign body in oesophagus
foreign object in nose
obstruction of pharynx by foreign body
Excl.:
inhalation of vomitus or food (W78-W79)
injury, except asphyxia or obstruction of respiratory tract, caused by foreign body (W44)
obstruction of oesophagus by foreign body without mention of asphyxia or obstruction of respiratory tract (W44)

W81 Confined to or trapped in a low-oxygen environment

Incl.:
accidentally shut in refrigerator or other airtight space
diving with insufficient air supply
Excl.:
suffocation by plastic bag (W83)

W83 Other specified threats to breathing

Incl.:
suffocation by plastic bag

W84 Unspecified threat to breathing

Incl.:
asphyxiation NOS
suffocation NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Exposure to electric current, radiation and extreme ambient air temperature and pressure
(W85-W99)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity
Excl.:
abnormal reaction to a complication of treatment, without mention of misadventure (Y84.2)
misadventure to patient in surgical and medical procedures (Y63.2-Y63.5)
exposure to:
  • natural:
  • radiation NOS (X39)
  • sunlight (X32)
victim of lightning (X33)

W85 Exposure to electric transmission lines

W86 Exposure to other specified electric current

W87 Exposure to unspecified electric current

Incl.:
burns or other injury from electric current NOS
electric shock NOS
electrocution NOS

W88 Exposure to ionizing radiation

Incl.:
radioactive isotopes
X-rays

W89 Exposure to man-made visible and ultraviolet light

Incl.:
welding light (arc)

W90 Exposure to other nonionizing radiation

Incl.:
  • infrared
  • laser
  • radiofrequency
  • radiation

W91 Exposure to unspecified type of radiation

W92 Exposure to excessive heat of man-made origin

W93 Exposure to excessive cold of man-made origin

Incl.:
contact with or inhalation of:
  • dry ice
  • liquid:
    • air
    • hydrogen
    • nitrogen
prolonged exposure in deep-freeze unit

W94 Exposure to high and low air pressure and changes in air pressure

Incl.:
high air pressure from rapid descent in water
reduction in atmospheric pressure while surfacing from:
  • deep-water diving
  • underground
residence or prolonged visit at high altitude as the cause of:
  • anoxia
  • barodontalgia
  • barotitis
  • hypoxia
  • mountain sickness
sudden change in air pressure in aircraft during ascent or descent

W99 Exposure to other and unspecified man-made environmental factors

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter X
Diseases of the respiratory system
(J00-J99)

Note:

When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g., tracheobronchitis to bronchitis in J40).

Excl.:
certain conditions originating in the perinatal period (P00-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O99)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E90)
injury, poisoning and certain other consequences of external causes (S00-T98)
neoplasms (C00-D48)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
This chapter contains the following blocks:
  • J00-J06 Acute upper respiratory infections
  • J09-J18 Influenza and pneumonia
  • J20-J22 Other acute lower respiratory infections
  • J30-J39 Other diseases of upper respiratory tract
  • J40-J47 Chronic lower respiratory diseases
  • J60-J70 Lung diseases due to external agents
  • J80-J84 Other respiratory diseases principally affecting the interstitium
  • J85-J86 Suppurative and necrotic conditions of lower respiratory tract
  • J90-J94 Other diseases of pleura
  • J95-J99 Other diseases of the respiratory system
Asterisk categories for this chapter are provided as follows:
  • J17* Pneumonia in diseases classified elsewhere
  • J91* Pleural effusion in conditions classified elsewhere
  • J99* Respiratory disorders in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Exposure to smoke, fire and flames
(X00-X09)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity
Incl.:
fire caused by lightning
Excl.:
arson (X97)
secondary fire resulting from explosion (W35-W40)
transport accidents (V01-V99)

X00 Exposure to uncontrolled fire in building or structure

Incl.:
  • collapse of
  • fall from
  • hit by object falling from
  • jump from
  • burning building or structure
conflagration
  • fire
  • melting
  • smouldering
  • of
  • fittings
  • furniture

X01 Exposure to uncontrolled fire, not in building or structure

Incl.:
forest fire

X02 Exposure to controlled fire in building or structure

Incl.:
fire in:
  • fireplace
  • stove

X03 Exposure to controlled fire, not in building or structure

Incl.:
camp-fire

X04 Exposure to ignition of highly flammable material

Incl.:
ignition of:
  • gasoline
  • kerosene
  • petrol

X05 Exposure to ignition or melting of nightwear

X06 Exposure to ignition or melting of other clothing and apparel

Incl.:
  • ignition
  • melting
  • of plastic jewellery

X08 Exposure to other specified smoke, fire and flames

X09 Exposure to unspecified smoke, fire and flames

Incl.:
burning NOS
incineration NOS
smoke inhalation NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Contact with heat and hot substances
(X10-X19)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity
Excl.:
exposure to:
  • excessive natural heat (X30)
  • fire and flames (X00-X09)

X10 Contact with hot drinks, food, fats and cooking oils

X11 Contact with hot tap-water

Incl.:
hot water in:
  • bath
  • bucket
  • tub
hot water running out of:
  • hose
  • tap

X12 Contact with other hot fluids

Incl.:
water heated on stove
Excl.:
hot (liquid) metals (X18)

X13 Contact with steam and hot vapours

X14 Contact with hot air and gases

Incl.:
inhalation of hot air and gases

X15 Contact with hot household appliances

Incl.:
cooker
hotplate
kettle
saucepan (glass)(metal)
stove (kitchen)
toaster
Excl.:
heating appliances (X16)

X16 Contact with hot heating appliances, radiators and pipes

X17 Contact with hot engines, machinery and tools

Excl.:
hot heating appliances, radiators and pipes (X16)
hot household appliances (X15)

X18 Contact with other hot metals

Incl.:
liquid metal

X19 Contact with other and unspecified heat and hot substances

Excl.:
objects that are not normally hot, e.g., an object made hot by a house fire (X00-X09)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Contact with venomous animals and plants
(X20-X29)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity
Incl.:
chemical released by:
  • animal
  • insect
release of venom through fangs, hairs, spines, tentacles and other venom apparatus
venomous bites and stings
Excl.:
ingestion of poisonous animals or plants (X49)

X20 Contact with venomous snakes and lizards

Incl.:
cobra
fer de lance
Gila monster
krait
rattlesnake
sea snake
snake (venomous)
viper
Excl.:
lizard (nonvenomous) (W59)
snake, nonvenomous (W59)

X21 Contact with venomous spiders

Incl.:
black widow spider
tarantula

X22 Contact with scorpions

X23 Contact with hornets, wasps and bees

Incl.:
yellow jacket

X24 Contact with centipedes and venomous millipedes (tropical)

X25 Contact with other venomous arthropods

Incl.:
ant
caterpillar

X26 Contact with venomous marine animals and plants

Incl.:
coral
jellyfish
nematocysts
sea:
  • anemone
  • cucumber
  • urchin
Excl.:
nonvenomous marine animals (W56)
sea snakes (X20)

X27 Contact with other specified venomous animals

X28 Contact with other specified venomous plants

Incl.:
injection of poisons or toxins into or through skin by
plant thorns, spines or other mechanisms
Excl.:
ingestion of poisonous plants (X49)
puncture wound NOS caused by plant thorns or spines (W60)

X29 Contact with unspecified venomous animal or plant

Incl.:
sting (venomous) NOS
venomous bite NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Exposure to forces of nature
(X30-X39)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity

X30 Exposure to excessive natural heat

Incl.:
excessive heat as the cause of sunstroke
exposure to heat NOS
Excl.:
excessive heat of man-made origin (W92)

X31 Exposure to excessive natural cold

Incl.:
excessive cold as the cause of:
  • chilblains NOS
  • immersion foot or hand
exposure to:
  • cold NOS
  • weather conditions
Excl.:
cold of man-made origin (W93)
contact with or inhalation of:
  • dry ice (W93)
  • liquefied gas (W93)

X32 Exposure to sunlight

X33 Victim of lightning

Excl.:
fire caused by lightning (X00-X09)
injury from fall of tree or other object caused by lightning (W20)

X34 Victim of earthquake

X34.0 Victim of cataclysmic earth movements caused by earthquake
Incl.:
Trapped in or injured by collapsing building or other structure due to earthquake
X34.1 Victim of tsunami
X34.8 Victim of other specified effects of earthquake
X34.9 Victim of unspecified effect of earthquake

X35 Victim of volcanic eruption

X36 Victim of avalanche, landslide and other earth movements

Incl.:
mudslide of cataclysmic nature
Excl.:
earthquake (X34.-)
transport accident involving collision with avalanche or landslide not in motion (V01-V99)

X37 Victim of cataclysmic storm

Incl.:
blizzard
cloudburst
cyclone
hurricane
tidal wave caused by storm
tornado
torrential rain
transport vehicle washed off road by storm
Excl.:
collapse of dam or man-made structure causing earth movement (X36)
transport accident occurring after storm (V01-V99)

X38 Victim of flood

Incl.:
flood:
  • arising from remote storm
  • of cataclysmic nature arising from melting snow
  • resulting directly from storm
Excl.:
collapse of dam or man-made structure causing earth movement (X36)
tidal wave:
  • NOS (X39)
  • caused by storm (X37)

X39 Exposure to other and unspecified forces of nature

Incl.:
natural radiation NOS
tidal wave NOS
Excl.:
exposure NOS (X59.9)
tsunami (X34.1)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Accidental poisoning by and exposure to noxious substances
(X40-X49)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity
Note:

For list of specific drugs and other substances classified under the three-character categories, see Table of drugs and chemicals in Alphabetical Index. Evidence of alcohol involvement in combination with substances specified below may be identified by using the supplementary codes Y90-Y91.

Incl.:
accidental overdose of drug, wrong drug given or taken in error, and drug taken inadvertently
accidents in the use of drugs, medicaments and biological substances in medical and surgical procedures
(self-inflicted) poisoning, when not specified whether accidental or with intent to harm. Follow legal rulings when available (see note at Y10-Y34).
Excl.:
administration with suicidal or homicidal intent, or intent to harm, or in other circumstances classifiable to X60-X69, X85-X90, Y10-Y19
correct drug properly administered in therapeutic or prophylactic dosage as the cause of any adverse effect (Y40-Y59)

X40 Accidental poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics

Incl.:
4-aminophenol derivatives
nonsteroidal anti-inflammatory drugs [NSAID]
pyrazolone derivatives
salicylates

X41 Accidental poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified

Incl.:
antidepressants
barbiturates
hydantoin derivatives
iminostilbenes
methaqualone compounds
neuroleptics
psychostimulants
succinimides and oxazolidinediones
tranquillizers

X42 Accidental poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified

Incl.:
cannabis (derivatives)
cocaine
codeine
heroin
lysergide [LSD]
mescaline
methadone
morphine
opium (alkaloids)

X43 Accidental poisoning by and exposure to other drugs acting on the autonomic nervous system

Incl.:
parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics
parasympathomimetics [cholinergics]
sympatholytics [antiadrenergics]
sympathomimetics [adrenergics]

X44 Accidental poisoning by and exposure to other and unspecified drugs, medicaments and biological substances

Incl.:
agents primarily acting on smooth and skeletal muscles and the respiratory system
anaesthetics (general)(local)
drugs affecting the:
  • cardiovascular system
  • gastrointestinal system
hormones and synthetic substitutes
systemic and haematological agents
systemic antibiotics and other anti-infectives
therapeutic gases
topical preparations
vaccines
water-balance agents and drugs affecting mineral and uric acid metabolism

X45 Accidental poisoning by and exposure to alcohol

Incl.:
alcohol:
  • NOS
  • butyl [1-butanol]
  • ethyl [ethanol]
  • isopropyl [2-propanol]
  • methyl [methanol]
  • propyl [1-propanol]
fusel oil

X46 Accidental poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours

Incl.:
benzene and homologues
carbon tetrachloride [tetrachloromethane]
chlorofluorocarbons
petroleum (derivatives)

X47 Accidental poisoning by and exposure to other gases and vapours

Incl.:
carbon monoxide
helium (nonmedicinal) NEC
lacrimogenic gas [tear gas]
motor (vehicle) exhaust gas
nitrogen oxides
sulfur dioxide
utility gas
Excl.:
metal fumes and vapours (X49)

X48 Accidental poisoning by and exposure to pesticides

Incl.:
fumigants
fungicides
herbicides
insecticides
rodenticides
wood preservatives
Excl.:
plant foods and fertilizers (X49)

X49 Accidental poisoning by and exposure to other and unspecified chemicals and noxious substances

Incl.:
corrosive aromatics, acids and caustic alkalis
glues and adhesives
metals including fumes and vapours
paints and dyes
plant foods and fertilizers
poisoning NOS
poisonous foodstuffs and poisonous plants
soaps and detergents
Excl.:
contact with venomous animals and plants (X20-X29)

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Overexertion, travel and privation
(X50-X57)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity
Excl.:
assault (X85-Y09)
transport accidents (V01-V99)

X50 Overexertion and strenuous or repetitive movements

Incl.:
lifting:
  • heavy objects
  • weights
marathon running
rowing

X51 Travel and motion

X52 Prolonged stay in weightless environment

Incl.:
weightlessness in spacecraft (simulator)

X53 Lack of food

Incl.:
lack of food as the cause of:
  • inanition
  • insufficient nourishment
  • starvation
Excl.:
insufficient intake of food and water due to self neglect (R63.6)
neglect or abandonment by others (Y06.-)
self neglect NOS (R46.8)

X54 Lack of water

Incl.:
lack of water as the cause of:
  • dehydration
  • inanition
Excl.:
insufficient intake of water due to self neglect (R63.3)
neglect or abandonment by others (Y06.-)
self neglect NOS (R46.8)

X57 Unspecified privation

Incl.:
destitution

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Accidents
(V01-X59)

Accidental exposure to other and unspecified factors
(X58-X59)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity

X58 Exposure to other specified factors

X59 Exposure to unspecified factor

X59.0 Exposure to unspecified factor causing fracture
X59.9 Exposure to unspecified factor causing other and unspecified injury
Incl.:
accident NOS
exposure NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Intentional self-harm
(X60-X84)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity
Incl.:
purposely self-inflicted poisoning or injury
suicide (attempted)

X60 Intentional self-poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics

Incl.:
4-aminophenol derivatives
nonsteroidal anti-inflammatory drugs [NSAID]
pyrazolone derivatives
salicylates

X61 Intentional self-poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified

Incl.:
antidepressants
barbiturates
hydantoin derivatives
iminostilbenes
methaqualone compounds
neuroleptics
psychostimulants
succinimides and oxazolidinediones
tranquillizers

X62 Intentional self-poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified

Incl.:
cannabis (derivatives)
cocaine
codeine
heroin
lysergide [LSD]
mescaline
methadone
morphine
opium (alkaloids)

X63 Intentional self-poisoning by and exposure to other drugs acting on the autonomic nervous system

Incl.:
parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics
parasympathomimetics [cholinergics]
sympatholytics [antiadrenergics]
sympathomimetics [adrenergics]

X64 Intentional self-poisoning by and exposure to other and unspecified drugs, medicaments and biological substances

Incl.:
agents primarily acting on smooth and skeletal muscles and the respiratory system
anaesthetics (general)(local)
drugs affecting the:
  • cardiovascular system
  • gastrointestinal system
hormones and synthetic substitutes
systemic and haematological agents
systemic antibiotics and other anti-infectives
therapeutic gases
topical preparations
vaccines
water-balance agents and drugs affecting mineral and uric acid metabolism

X65 Intentional self-poisoning by and exposure to alcohol

Incl.:
alcohol:
  • NOS
  • butyl [1-butanol]
  • ethyl [ethanol]
  • isopropyl [2-propanol]
  • methyl [methanol]
  • propyl [1-propanol]
fusel oil

X66 Intentional self-poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours

Incl.:
benzene and homologues
carbon tetrachloride [tetrachloromethane]
chlorofluorocarbons
petroleum (derivatives)

X67 Intentional self-poisoning by and exposure to other gases and vapours

Incl.:
carbon monoxide
helium (nonmedicinal) NEC
lacrimogenic gas [tear gas]
motor (vehicle) exhaust gas
nitrogen oxides
sulfur dioxide
utility gas
Excl.:
metal fumes and vapours (X69)

X68 Intentional self-poisoning by and exposure to pesticides

Incl.:
fumigants
fungicides
herbicides
insecticides
rodenticides
wood preservatives
Excl.:
plant foods and fertilizers (X69)

X69 Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances

Incl.:
corrosive aromatics, acids and caustic alkalis
glues and adhesives
metals including fumes and vapours
paints and dyes
plant foods and fertilizers
poisonous foodstuffs and poisonous plants
soaps and detergents

X70 Intentional self-harm by hanging, strangulation and suffocation

X71 Intentional self-harm by drowning and submersion

X72 Intentional self-harm by handgun discharge

X73 Intentional self-harm by rifle, shotgun and larger firearm discharge

X74 Intentional self-harm by other and unspecified firearm discharge

X75 Intentional self-harm by explosive material

X76 Intentional self-harm by smoke, fire and flames

X77 Intentional self-harm by steam, hot vapours and hot objects

X78 Intentional self-harm by sharp object

X79 Intentional self-harm by blunt object

X80 Intentional self-harm by jumping from a high place

Incl.:
intentional fall from one level to another

X81 Intentional self-harm by jumping or lying before moving object

X82 Intentional self-harm by crashing of motor vehicle

Incl.:
intentional collision with:
  • motor vehicle
  • train
  • tram (streetcar)
Excl.:
crashing of aircraft (X83)

X83 Intentional self-harm by other specified means

Incl.:
intentional self-harm by:
  • caustic substances, except poisoning
  • crashing of aircraft
  • electrocution

X84 Intentional self-harm by unspecified means

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Assault
(X85-Y09)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity
Incl.:
homicide
injuries inflicted by another person with intent to injure or kill, by any means
Excl.:
injuries due to:
  • legal intervention (Y35.-)
  • operations of war (Y36.-)

X85 Assault by drugs, medicaments and biological substances

Incl.:
homicidal poisoning by (any):
  • biological substance
  • drug
  • medicament

X86 Assault by corrosive substance

Excl.:
corrosive gas (X88)

X87 Assault by pesticides

Incl.:
wood preservatives
Excl.:
plant food and fertilizers (X89)

X88 Assault by gases and vapours

X89 Assault by other specified chemicals and noxious substances

Incl.:
plant food and fertilizers

X90 Assault by unspecified chemical or noxious substance

Incl.:
homicidal poisoning NOS

X91 Assault by hanging, strangulation and suffocation

X92 Assault by drowning and submersion

X93 Assault by handgun discharge

X94 Assault by rifle, shotgun and larger firearm discharge

X95 Assault by other and unspecified firearm discharge

X96 Assault by explosive material

Excl.:
incendiary device (X97)

X97 Assault by smoke, fire and flames

Incl.:
arson
cigarettes
incendiary device

X98 Assault by steam, hot vapours and hot objects

X99 Assault by sharp object

Incl.:
stabbed NOS

Y00 Assault by blunt object

Y01 Assault by pushing from high place

Y02 Assault by pushing or placing victim before moving object

Y03 Assault by crashing of motor vehicle

Incl.:
deliberately hitting or running over with motor vehicle

Y04 Assault by bodily force

Incl.:
unarmed brawl or fight
Excl.:
assault by:
sexual assault by bodily force (Y05)

Y05 Sexual assault by bodily force

Incl.:
rape (attempted)
sodomy (attempted)

Y06 Neglect and abandonment

Y06.0 By spouse or partner
Y06.1 By parent
Y06.2 By acquaintance or friend
Y06.8 By other specified persons
Y06.9 By unspecified person

Y07 Other maltreatment

Incl.:
mental cruelty
physical abuse
sexual abuse
torture
Excl.:
neglect and abandonment (Y06.-)
sexual assault by bodily force (Y05)
Y07.0 By spouse or partner
Y07.1 By parent
Y07.2 By acquaintance or friend
Y07.3 By official authorities
Y07.8 By other specified persons
Y07.9 By unspecified person

Y08 Assault by other specified means

Y09 Assault by unspecified means

Incl.:
assassination (attempt) NOS
homicide (attempt) NOS
manslaughter (nonaccidental)
murder (attempt) NOS

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XI
Diseases of the digestive system
(K00-K93)

Excl.:
certain conditions originating in the perinatal period (P00-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O99)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E90)
injury, poisoning and certain other consequences of external causes (S00-T98)
neoplasms (C00-D48)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
This chapter contains the following blocks:
  • K00-K14 Diseases of oral cavity, salivary glands and jaws
  • K20-K31 Diseases of oesophagus, stomach and duodenum
  • K35-K38 Diseases of appendix
  • K40-K46 Hernia
  • K50-K52 Noninfective enteritis and colitis
  • K55-K64 Other diseases of intestines
  • K65-K67 Diseases of peritoneum
  • K70-K77 Diseases of liver
  • K80-K87 Disorders of gallbladder, biliary tract and pancreas
  • K90-K93 Other diseases of the digestive system
Asterisk categories for this chapter are provided as follows:
  • K23* Disorders of oesophagus in diseases classified elsewhere
  • K67* Disorders of peritoneum in infectious diseases classified elsewhere
  • K77* Liver disorders in diseases classified elsewhere
  • K87* Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere
  • K93* Disorders of other digestive organs in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XII
Diseases of the skin and subcutaneous tissue
(L00-L99)

Excl.:
certain conditions originating in the perinatal period (P00-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O99)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E90)
injury, poisoning and certain other consequences of external causes (S00-T98)
lipomelanotic reticulosis (I89.8)
neoplasms (C00-D48)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
systemic connective tissue disorders (M30-M36)
This chapter contains the following blocks:
  • L00-L08 Infections of the skin and subcutaneous tissue
  • L10-L14 Bullous disorders
  • L20-L30 Dermatitis and eczema
  • L40-L45 Papulosquamous disorders
  • L50-L54 Urticaria and erythema
  • L55-L59 Radiation-related disorders of the skin and subcutaneous tissue
  • L60-L75 Disorders of skin appendages
  • L80-L99 Other disorders of the skin and subcutaneous tissue
Asterisk categories for this chapter are provided as follows:
  • L14* Bullous disorders in diseases classified elsewhere
  • L45* Papulosquamous disorders in diseases classified elsewhere
  • L54* Erythema in diseases classified elsewhere
  • L62* Nail disorders in diseases classified elsewhere
  • L86* Keratoderma in diseases classified elsewhere
  • L99* Other disorders of skin and subcutaneous tissue in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)

Excl.:
certain conditions originating in the perinatal period (P00-P96)
certain disorders of the temporomandibular joint (K07.6)
certain infectious and parasitic diseases (A00-B99)
compartment syndrome (T79.6)
complications of pregnancy, childbirth and the puerperium (O00-O99)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E90)
injury, poisoning and certain other consequences of external causes (S00-T98)
neoplasms (C00-D48)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
This chapter contains the following blocks:
Asterisk categories for this chapter are provided as follows:
  • M01* Direct infections of joint in infectious and parasitic diseases classified elsewhere
  • M03* Postinfective and reactive arthropathies in diseases classified elsewhere
  • M07* Psoriatic and enteropathic arthropathies
  • M09* Juvenile arthritis in diseases classified elsewhere
  • M14* Arthropathies in other diseases classified elsewhere
  • M36* Systemic disorders of connective tissue in diseases classified elsewhere
  • M49* Spondylopathies in diseases classified elsewhere
  • M63* Disorders of muscle in diseases classified elsewhere
  • M68* Disorders of synovium and tendon in diseases classified elsewhere
  • M73* Soft tissue disorders in diseases classified elsewhere
  • M82* Osteoporosis in diseases classified elsewhere
  • M90* Osteopathies in diseases classified elsewhere
Modifiers

Site of musculoskeletal involvement

The following subclassification to indicate the site of involvement is provided for optional use with appropriate categories in Chapter XIII. As local extensions or specialty adaptations may vary in the number of characters used, it is suggested that the supplementary site subclassification be placed in an identifiably separate position (e.g. in an additional box). Different sub-classifications for use with derangement of knee, dorsopathies, and biomechanical lesions not elsewhere classified are given at M23, before M40 and at M99 respectively.

Code Title
0
Multiple sites
1
Shoulder region
Incl.:
clavicle
scapula
  • acromioclavicular
  • glenohumeral
  • sternoclavicular
  • joints
2
Upper arm
Incl.:
humerus
elbow joint
3
Forearm
Incl.:
radius
ulna
wrist joint
4
Hand
Incl.:
carpus
fingers
metacarpus
joints between these bones
5
Pelvic region and thigh
Incl.:
buttock
femur
pelvis
hip (joint)
sacroiliac joint
6
Lower leg
Incl.:
fibula
knee joint
tibia
7
Ankle and foot
Incl.:
metatarsus
tarsus
toes
ankle joint
other joints in foot
8
Other
Incl.:
head
neck
ribs
skull
trunk
vertebral column
9
Site unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIV
Diseases of the genitourinary system
(N00-N99)

Excl.:
certain conditions originating in the perinatal period (P00-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O99)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E90)
injury, poisoning and certain other consequences of external causes (S00-T98)
neoplasms (C00-D48)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
This chapter contains the following blocks:
  • N00-N08 Glomerular diseases
  • N10-N16 Renal tubulo-interstitial diseases
  • N17-N19 Renal failure
  • N20-N23 Urolithiasis
  • N25-N29 Other disorders of kidney and ureter
  • N30-N39 Other diseases of urinary system
  • N40-N51 Diseases of male genital organs
  • N60-N64 Disorders of breast
  • N70-N77 Inflammatory diseases of female pelvic organs
  • N80-N98 Noninflammatory disorders of female genital tract
  • N99-N99 Other disorders of the genitourinary system
Asterisk categories for this chapter are provided as follows:
  • N08* Glomerular disorders in diseases classified elsewhere
  • N16* Renal tubulo-interstitial disorders in diseases classified elsewhere
  • N22* Calculus of urinary tract in diseases classified elsewhere
  • N29* Other disorders of kidney and ureter in diseases classified elsewhere
  • N33* Bladder disorders in diseases classified elsewhere
  • N37* Urethral disorders in diseases classified elsewhere
  • N51* Disorders of male genital organs in diseases classified elsewhere
  • N74* Female pelvic inflammatory disorders in diseases classified elsewhere
  • N77* Vulvovaginal ulceration and inflammation in diseases classified elsewhere

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Excl.:
birth trauma (P10-P15)
obstetric trauma (O70-O71)
malunion of fracture (M84.0)
nonunion of fracture [pseudarthrosis] (M84.1)
pathological fracture (M84.4)
pathological fracture with osteoporosis (M80.-)
stress fracture (M84.3)
This chapter contains the following blocks:
  • S00-S09 Injuries to the head
  • S10-S19 Injuries to the neck
  • S20-S29 Injuries to the thorax
  • S30-S39 Injuries to the abdomen, lower back, lumbar spine and pelvis
  • S40-S49 Injuries to the shoulder and upper arm
  • S50-S59 Injuries to the elbow and forearm
  • S60-S69 Injuries to the wrist and hand
  • S70-S79 Injuries to the hip and thigh
  • S80-S89 Injuries to the knee and lower leg
  • S90-S99 Injuries to the ankle and foot
  • T00-T07 Injuries involving multiple body regions
  • T08-T14 Injuries to unspecified part of trunk, limb or body region
  • T15-T19 Effects of foreign body entering through natural orifice
  • T20-T32 Burns and corrosions
    • T20-T25 Burns and corrosions of external body surface, specified by site
    • T26-T28 Burns and corrosions confined to eye and internal organs
    • T29-T32 Burns and corrosions of multiple and unspecified body regions
  • T33-T35 Frostbite
  • T36-T50 Poisoning by drugs, medicaments and biological substances
  • T51-T65 Toxic effects of substances chiefly nonmedicinal as to source
  • T66-T78 Other and unspecified effects of external causes
  • T79-T79 Certain early complications of trauma
  • T80-T88 Complications of surgical and medical care, not elsewhere classified
  • T90-T98 Sequelae of injuries, of poisoning and of other consequences of external causes
Introduction

The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to multiple or unspecified body regions as well as poisoning and certain other consequences of external causes.

Where multiple sites of injury are specified in the titles, the word "with" indicates involvement of both sites, and the word "and" indicates involvement of either or both sites.

The principle of multiple coding of injuries should be followed wherever possible. Combination categories for multiple injuries are provided for use when there is insufficient detail as to the nature of the individual conditions, or for primary tabulation purposes when it is more convenient to record a single code; otherwise, the component injuries should be coded separately. Reference should also be made to the morbidity or mortality coding rules and guidelines in Volume 2.

The blocks of the S-section as well as T00-T14 and T90-T98 contain injuries at the three-character level classified by type as follows:

Superficial injury including:

abrasion

blister (nonthermal)

contusion, including bruise and haematoma

injury from superficial foreign body (splinter) without major open wound

insect bite (nonvenomous)

Open wound including:

animal bite

cut

laceration

puncture wound:

  • NOS

  • with (penetrating) foreign body

Fracture including:

Fracture:

closed:

  • comminuted

  • depressed

  • elevated

  • fissured

  • greenstick

  • impacted

  • linear

  • simple

  • slipped epiphysis

  • spiral

with or without delayed healing

  • dislocated

  • displaced

Fracture:

open:

  • compound

  • infected

  • missile

  • puncture

  • with foreign body

with or without delayed healing

Excl.:  fracture:

- pathological (M84.4)

-- with osteoporosis (M80.-)

- stress (M84.3)

malunion of fracture (M84.0)

nonunion of fracture [pseudoarthrosis] (M84.1)

Dislocation, sprain and strain including:

avulsion

laceration

sprain

strain

traumatic:

  • haemarthrosis

  • rupture

  • subluxation

  • tear

of

cartilage

joint (capsule)

ligament

Injury to nerves and spinal cord including:

complete or incomplete lesion of spinal cord

lesion in continuity of nerves and spinal cord

traumatic:

  • division of nerve

  • haematomyelia

  • paralysis(transient)

  • paraplegia

  • quadriplegia

Injury to blood vessels including:

avulsion

cut

laceration

traumatic:

  • aneurysm or fistula (arteriovenous)

  • arterial haematoma

  • rupture

of blood vessels

Injury to muscle, fascia and tendon including:

avulsion

cut

laceration

strain

traumatic rupture

of muscle, fascia and tendon

Crushing injury

Traumatic amputation

Injury to internal organs including:

blast injuries

bruise

concussion injuries

crushing

laceration

traumatic:

  • haematoma

  • puncture

  • rupture

  • tear

of internal organs

Other and unspecified injuries

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XV
Pregnancy, childbirth and the puerperium
(O00-O99)

Coding-Hint
The codes included in this chapter are to be used for conditions related to or aggravated by the pregnancy, childbirth or by the puerperium (maternal causes or obstetric causes)
Excl.:
Certain diseases or injuries complicating pregnancy, childbirth and the puerperium classified elsewhere:
  • external causes (for mortality) (V01-Y89)
  • injury, poisoning and certain other consequences of external cause (S00-T88.1, T88.6-T98)
  • mental and behavioural disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)
supervision of:
  • high-risk pregnancy (Z35.-)
  • normal pregnancy (Z34.-)
This chapter contains the following blocks:
  • O00-O08 Pregnancy with abortive outcome
  • O10-O16 Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium
  • O20-O29 Other maternal disorders predominantly related to pregnancy
  • O30-O48 Maternal care related to the fetus and amniotic cavity and possible delivery problems
  • O60-O75 Complications of labour and delivery
  • O80-O84 Delivery
  • O85-O92 Complications predominantly related to the puerperium
  • O94-O99 Other obstetric conditions, not elsewhere classified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVI
Certain conditions originating in the perinatal period
(P00-P96)

Incl.:
conditions that have their origin in the perinatal period even though death or morbidity occurs later
Excl.:
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E90)
injury, poisoning and certain other consequences of external causes (S00-T98)
neoplasms (C00-D48)
tetanus neonatorum (A33)
This chapter contains the following blocks:
  • P00-P04 Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery
  • P05-P08 Disorders related to length of gestation and fetal growth
  • P10-P15 Birth trauma
  • P20-P29 Respiratory and cardiovascular disorders specific to the perinatal period
  • P35-P39 Infections specific to the perinatal period
  • P50-P61 Haemorrhagic and haematological disorders of fetus and newborn
  • P70-P74 Transitory endocrine and metabolic disorders specific to fetus and newborn
  • P75-P78 Digestive system disorders of fetus and newborn
  • P80-P83 Conditions involving the integument and temperature regulation of fetus and newborn
  • P90-P96 Other disorders originating in the perinatal period
Asterisk categories for this chapter are provided as follows:
  • P75* Meconium ileus in cystic fibrosis

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVII
Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)

Excl.:
inborn errors of metabolism (E70-E90)
This chapter contains the following blocks:
  • Q00-Q07 Congenital malformations of the nervous system
  • Q10-Q18 Congenital malformations of eye, ear, face and neck
  • Q20-Q28 Congenital malformations of the circulatory system
  • Q30-Q34 Congenital malformations of the respiratory system
  • Q35-Q37 Cleft lip and cleft palate
  • Q38-Q45 Other congenital malformations of the digestive system
  • Q50-Q56 Congenital malformations of genital organs
  • Q60-Q64 Congenital malformations of the urinary system
  • Q65-Q79 Congenital malformations and deformations of the musculoskeletal system
  • Q80-Q89 Other congenital malformations
  • Q90-Q99 Chromosomal abnormalities, not elsewhere classified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)

Additional Text

This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.

Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.

The conditions and signs or symptoms included in categories R00-R99 consist of:

  1. cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;

  2. signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;

  3. provisional diagnoses in a patient who failed to return for further investigation or care;

  4. cases referred elsewhere for investigation or treatment before the diagnosis was made;

  5. cases in which a more precise diagnosis was not available for any other reason;

  6. certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

Excl.:
abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P00-P96)
This chapter contains the following blocks:
  • R00-R09 Symptoms and signs involving the circulatory and respiratory systems
  • R10-R19 Symptoms and signs involving the digestive system and abdomen
  • R20-R23 Symptoms and signs involving the skin and subcutaneous tissue
  • R25-R29 Symptoms and signs involving the nervous and musculoskeletal systems
  • R30-R39 Symptoms and signs involving the urinary system
  • R40-R46 Symptoms and signs involving cognition, perception, emotional state and behaviour
  • R47-R49 Symptoms and signs involving speech and voice
  • R50-R69 General symptoms and signs
  • R70-R79 Abnormal findings on examination of blood, without diagnosis
  • R80-R82 Abnormal findings on examination of urine, without diagnosis
  • R83-R89 Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis
  • R90-R94 Abnormal findings on diagnostic imaging and in function studies, without diagnosis
  • R95-R99 Ill-defined and unknown causes of mortality

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Additional Text

This chapter, which in previous revisions of ICD constituted a supplementary classification, permits the classification of environmental events and circumstances as the cause of injury, poisoning and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used in addition to a code from another chapter of the Classification indicating the nature of the condition. Most often, the condition will be classifiable to Chapter XIX, Injury, poisoning and certain other consequences of external causes (S00-T98). Causes of death should preferably be tabulated according to both Chapter XIX and Chapter XX, but if only one code is tabulated then the code from Chapter XX should be used in preference. Other conditions that may be stated to be due to external causes are classified in Chapters I to XVIII. For these conditions, codes from Chapter XX should be used to provide additional information for multiple-condition analysis only.

Categories for sequelae of external causes of morbidity and mortality are included at Y85-Y89.

This chapter contains the following blocks:
  • V01-X59 Accidents
    • V01-V99 Transport accidents
      • V01-V09 Pedestrian injured in transport accident
      • V10-V19 Pedal cyclist injured in transport accident
      • V20-V29 Motorcycle rider injured in transport accident
      • V30-V39 Occupant of three-wheeled motor vehicle injured in transport accident
      • V40-V49 Car occupant injured in transport accident
      • V50-V59 Occupant of pick-up truck or van injured in transport accident
      • V60-V69 Occupant of heavy transport vehicle injured in transport accident
      • V70-V79 Bus occupant injured in transport accident
      • V80-V89 Other land transport accidents
      • V90-V94 Water transport accidents
      • V95-V97 Air and space transport accidents
      • V98-V99 Other and unspecified transport accidents
    • W00-X59 Other external causes of accidental injury
      • W00-W19 Falls
      • W20-W49 Exposure to inanimate mechanical forces
      • W50-W64 Exposure to animate mechanical forces
      • W65-W74 Accidental drowning and submersion
      • W75-W84 Other accidental threats to breathing
      • W85-W99 Exposure to electric current, radiation and extreme ambient air temperature and pressure
      • X00-X09 Exposure to smoke, fire and flames
      • X10-X19 Contact with heat and hot substances
      • X20-X29 Contact with venomous animals and plants
      • X30-X39 Exposure to forces of nature
      • X40-X49 Accidental poisoning by and exposure to noxious substances
      • X50-X57 Overexertion, travel and privation
      • X58-X59 Accidental exposure to other and unspecified factors
  • X60-X84 Intentional self-harm
  • X85-Y09 Assault
  • Y10-Y34 Event of undetermined intent
  • Y35-Y36 Legal intervention and operations of war
  • Y40-Y84 Complications of medical and surgical care
    • Y40-Y59 Drugs, medicaments and biological substances causing adverse effects in therapeutic use
    • Y60-Y69 Misadventures to patients during surgical and medical care
    • Y70-Y82 Medical devices associated with adverse incidents in diagnostic and therapeutic use
    • Y83-Y84 Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure
  • Y85-Y89 Sequelae of external causes of morbidity and mortality
  • Y90-Y98 Supplementary factors related to causes of morbidity and mortality classified elsewhere
Modifiers

Place of occurrence code

The following categories are provided to to be used as separate variables in addition to ICD categories W00-Y34 to identify the place of occurrence of the external cause where relevant:

Code Title
0
Home
Incl.:
Apartment
Boarding-house
Caravan [trailer] park, residential
Farmhouse
Home premises
House (residential)
Noninstitutional place of residence
Private:
  • driveway to home
  • garage
  • garden to home
  • yard to home
Swimming-pool in private house or garden
Excl.:
abandoned or derelict house8
home under construction but not yet occupied6
institutional place of residence1
1
Residential institution
Incl.:
Children's home
Dormitory
Home for the sick
Hospice
Military camp
Nursing home
Old people's home
Orphanage
Pensioner's home
Prison
Reform school
2
School, other institution and public administrative area
Incl.:
Building (including adjacent grounds) used by the general public or by a particular group of the public such as:
  • assembly hall
  • campus
  • church
  • cinema
  • clubhouse
  • college
  • court-house
  • dancehall
  • day nursery
  • gallery
  • hospital
  • institute for higher education
  • kindergarten
  • library
  • movie-house
  • museum
  • music-hall
  • opera-house
  • post office
  • public hall
  • school (private)(public)(state)
  • theatre
  • university
  • youth centre
Excl.:
building under construction 6
residential institution 1
sports and athletics area 3
3
Sports and athletics area
Incl.:
Baseball field
Basketball-court
Cricket ground
Football field
Golf-course
Gymnasium
Hockey field
Riding-school
Skating-rink
Squash-court
Stadium
Swimming-pool, public
Tennis-court
Excl.:
swimming-pool or tennis-court in private home or garden0
4
Street and highway
Incl.:
Freeway
Motorway
Pavement
Road
Sidewalk
5
Trade and service area
Incl.:
Airport
Bank
Café
Casino
Garage (commercial)
Gas station
Hotel
Market
Office building
Petrol station
Radio or television station
Restaurant
Service station
Shop (commercial)
Shopping mall
Station (bus)(railway)
Store
Supermarket
Warehouse
Excl.:
garage in private home0
6
Industrial and construction area
Incl.:
Building [any] under construction
Dockyard
Dry dock
Factory:
  • building
  • premises
Gasworks
Industrial yard
Mine
Oil rig and other offshore installations
Pit (coal)(gravel)(sand)
Power-station (coal)(nuclear)(oil)
Shipyard
Tunnel under construction
Workshop
7
Farm
Incl.:
Farm:
  • buildings
  • land under cultivation
Ranch
Excl.:
farmhouse and home premises of farm0
8
Other specified places
Incl.:
Beach
Campsite
Canal
Caravan site NOS
Derelict house
Desert
Dock NOS
Forest
Harbour
Hill
Lake
Marsh
Military training ground
Mountain
Park (amusement) (public)
Parking-lot and parking-place
Pond or pool
Prairie
Public place NOS
Railway line
River
Sea
Seashore
Stream
Swamp
Water reservoir
Zoo
9
Unspecified place

Activity code

The following categories are provided to be used as separate variables in addition to categories V01-Y34 to indicate the activity of the injured person at the time the event occurred. This supplementary classification should not be confused with, or be used instead of, the recommended categories provided to indicate the place of occurrence of events classifiable to W00-Y34.

Code Title
0
While engaged in sports activity
Incl.:
Physical exercise with a described functional element such as:
  • golf
  • jogging
  • riding
  • school athletics
  • skiing
  • swimming
  • trekking
  • water-skiing
1
While engaged in leisure activity
Incl.:
Hobby activities
Leisure-time activities with an entertainment element such as going to the cinema, to a dance or to a party
Participation in sessions and activities of voluntary organizations
Excl.:
sports activities0
2
While working for income
Incl.:
Paid work (manual)(professional)
Transportation (time) to and from such activities
Work for salary, bonus and other types of income
3
While engaged in other types of work
Incl.:
Domestic duties such as:
  • caring for children and relatives
  • cleaning
  • cooking
  • gardening
  • household maintenance
Duties for which one would not normally gain an income
Learning activities, e.g. attending school session or lesson
Undergoing education
4
While resting, sleeping, eating or engaging in other vital activities
Incl.:
Personal hygiene
8
While engaged in other specified activities
9
During unspecified activity

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XXI
Factors influencing health status and contact with health services
(Z00-Z99)

Note:

This chapter should not be used for international comparison or for primary mortality coding.

Coding-Hint

Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as "diagnoses" or "problems". This can arise in two main ways:

  1. When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination or to discuss a problem which is in itself not a disease or injury.

  2. When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury. Such factors may be elicited during population surveys, when the person may or may not be currently sick, or be recorded as an additional factor to be borne in mind when the person is receiving care for some illness or injury.

This chapter contains the following blocks:
  • Z00-Z13 Persons encountering health services for examination and investigation
  • Z20-Z29 Persons with potential health hazards related to communicable diseases
  • Z30-Z39 Persons encountering health services in circumstances related to reproduction
  • Z40-Z54 Persons encountering health services for specific procedures and health care
  • Z55-Z65 Persons with potential health hazards related to socioeconomic and psychosocial circumstances
  • Z70-Z76 Persons encountering health services in other circumstances
  • Z80-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XXII
Codes for special purposes
(U00-U85)

This chapter contains the following blocks:
  • U00-U49 Provisional assignment of new diseases of uncertain etiology or emergency use
  • U82-U85 Resistance to antimicrobial and antineoplastic drugs

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Event of undetermined intent
(Y10-Y34)

Additional Text
See at the beginning of this chapter for the classification of the place of occurrence and activity
Note:

This section covers events where available information is insufficient to enable a medical or legal authority to make a distinction between accident, self-harm and assault. It includes self-inflicted injuries, but not poisoning, when not specified whether accidental or with intent to harm (X40-X49). Follow legal rulings when available.

Y10 Poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics, undetermined intent

Incl.:
4-aminophenol derivatives
nonsteroidal anti-inflammatory drugs [NSAID]
pyrazolone derivatives
salicylates

Y11 Poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified, undetermined intent

Incl.:
antidepressants
barbiturates
hydantoin derivatives
iminostilbenes
methaqualone compounds
neuroleptics
psychostimulants
succinimides and oxazolidinediones
tranquillizers

Y12 Poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified, undetermined intent

Incl.:
cannabis (derivatives)
cocaine
codeine
heroin
lysergide [LSD]
mescaline
methadone
morphine
opium (alkaloids)

Y13 Poisoning by and exposure to other drugs acting on the autonomic nervous system, undetermined intent

Incl.:
parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics
parasympathomimetics [cholinergics]
sympatholytics [antiadrenergics]
sympathomimetics [adrenergics]

Y14 Poisoning by and exposure to other and unspecified drugs, medicaments and biological substances, undetermined intent

Incl.:
agents primarily acting on smooth and skeletal muscles and the respiratory system
anaesthetics (general)(local)
drugs affecting the:
  • cardiovascular system
  • gastrointestinal system
hormones and synthetic substitutes
systemic and haematological agents
systemic antibiotics and other anti-infectives
therapeutic gases
topical preparations
vaccines
water-balance agents and drugs affecting mineral and uric acid metabolism

Y15 Poisoning by and exposure to alcohol, undetermined intent

Incl.:
alcohol:
  • NOS
  • butyl [1-butanol]
  • ethyl [ethanol]
  • isopropyl [2-propanol]
  • methyl [methanol]
  • propyl [1-propanol]
fusel oil

Y16 Poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours, undetermined intent

Incl.:
benzene and homologues
carbon tetrachloride [tetrachloromethane]
chlorofluorocarbons
petroleum (derivatives)

Y17 Poisoning by and exposure to other gases and vapours, undetermined intent

Incl.:
carbon monoxide
helium (nonmedicinal) NEC
lacrimogenic gas [tear gas]
motor (vehicle) exhaust gas
nitrogen oxides
sulfur dioxide
utility gas
Excl.:
metal fumes and vapours (Y19)

Y18 Poisoning by and exposure to pesticides, undetermined intent

Incl.:
fumigants
fungicides
herbicides
insecticides
rodenticides
wood preservatives
Excl.:
plant foods and fertilizers (Y19)

Y19 Poisoning by and exposure to other and unspecified chemicals and noxious substances, undetermined intent

Incl.:
corrosive aromatics, acids and caustic alkalis
glues and adhesives
metals including fumes and vapours
paints and dyes
plant foods and fertilizers
poisonous foodstuffs and poisonous plants
soaps and detergents

Y20 Hanging, strangulation and suffocation, undetermined intent

Y21 Drowning and submersion, undetermined intent

Y22 Handgun discharge, undetermined intent

Y23 Rifle, shotgun and larger firearm discharge, undetermined intent

Y24 Other and unspecified firearm discharge, undetermined intent

Y25 Contact with explosive material, undetermined intent

Y26 Exposure to smoke, fire and flames, undetermined intent

Y27 Contact with steam, hot vapours and hot objects, undetermined intent

Y28 Contact with sharp object, undetermined intent

Y29 Contact with blunt object, undetermined intent

Y30 Falling, jumping or pushed from a high place, undetermined intent

Incl.:
victim falling from one level to another, undetermined intent

Y31 Falling, lying or running before or into moving object, undetermined intent

Y32 Crashing of motor vehicle, undetermined intent

Y33 Other specified events, undetermined intent

Y34 Unspecified event, undetermined intent

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Y35 Legal intervention

Incl.:
injuries inflicted by the police or other law-enforcing agents, including military on duty, in the course of arresting or attempting to arrest lawbreakers, suppressing disturbances, maintaining order, and other legal action
Y35.0 Legal intervention involving firearm discharge
Incl.:
Legal intervention with:
  • machine gun
  • revolver
  • rifle pellet or rubber bullet
Y35.1 Legal intervention involving explosives
Incl.:
Legal intervention with:
  • dynamite
  • explosive shell
  • grenade
  • mortar bomb
Y35.2 Legal intervention involving gas
Incl.:
  • Asphyxiation by gas
  • Injury by tear gas
  • Poisoning by gas
  • due to legal intervention
Y35.3 Legal intervention involving blunt objects
Incl.:
  • Hit, struck by:
    • baton
    • blunt object
    • stave
  • during legal intervention
Y35.4 Legal intervention involving sharp objects
Incl.:
  • Cut
  • Injured by bayonet
  • Stabbed
  • during legal intervention
Y35.5 Legal execution
Incl.:
Any execution performed at the behest of the judiciary or ruling authority [whether permanent or temporary], such as:
  • asphyxiation by gas
  • beheading, decapitation (by guillotine)
  • capital punishment
  • electrocution
  • hanging
  • poisoning
  • shooting
Y35.6 Legal intervention involving other specified means
Incl.:
Manhandling
Y35.7 Legal intervention, means unspecified

Y36 Operations of war

Note:

Injuries due to operations of war occurring after cessation of hostilities are classified to Y36.8.

Incl.:
injuries to military personnel and civilians caused by war and civil insurrection
Y36.0 War operations involving explosion of marine weapons
Incl.:
Depth-charge
Marine mine
Mine NOS, at sea or in harbour
Sea-based artillery shell
Torpedo
Underwater blast
Y36.1 War operations involving destruction of aircraft
Incl.:
Aircraft:
  • burned
  • exploded
  • shot down
Crushed by falling aircraft
Y36.2 War operations involving other explosions and fragments
Incl.:
  • Accidental explosion of:
    • munitions being used in war
    • own weapons
  • Antipersonnel bomb (fragments)
  • Explosion (of):
    • artillery shell
    • breech-block
    • cannon block
    • mortar bomb
  • Fragments from:
    • artillery shell
    • bomb
    • grenade
    • guided missile
    • land-mine
    • rocket
    • shell
    • shrapnel
  • Mine NOS
  • during war operations
Y36.3 War operations involving fires, conflagrations and hot substances
Incl.:
  • Asphyxia
  • Burns
  • Other injury
  • originating from fire caused directly by a fire-producing device or indirectly by any conventional weapon
Petrol bomb
Y36.4 War operations involving firearm discharge and other forms of conventional warfare
Incl.:
Battle wounds
Bayonet injury
Bullet:
  • carbine
  • machine gun
  • pistol
  • rifle
  • rubber (rifle)
Drowned in war operations NOS
Pellets (shotgun)
Y36.5 War operations involving nuclear weapons
Incl.:
Blast effects
Exposure to ionizing radiation from nuclear weapon
Fireball effects
Heat
Other direct and secondary effects of nuclear weapons
Y36.6 War operations involving biological weapons
Y36.7 War operations involving chemical weapons and other forms of unconventional warfare
Incl.:
Gases, fumes and chemicals
Lasers
Y36.8 War operations occurring after cessation of hostilities
Incl.:
Injuries by explosion of bombs or mines placed in the course of operations of war, if the explosion occurred after cessation of hostilities
Injuries due to operations of war and classifiable to Y36.0-Y36.7 or Y36.9 but occurring after cessation of hostilities
Y36.9 War operations, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Complications of medical and surgical care
(Y40-Y84)

Incl.:
complications of medical devices
correct drug properly administered in therapeutic or prophylactic dosage as the cause of any adverse effect
misadventures to patients during surgical and medical care
surgical and medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure
Excl.:
accidental overdose of drug or wrong drug given or taken in error (X40-X44)

Drugs, medicaments and biological substances causing adverse effects in therapeutic use
(Y40-Y59)

Note:

For list of specific drugs classified under the fourth-character subdivisions, see Table of drugs and chemicals in Alphabetical Index.

Excl.:
accidents in the technique of administration of drugs, medicaments and biological substances in medical and surgical procedures (Y60-Y69)

Y40 Systemic antibiotics

Excl.:
antibiotics, topically used (Y56.-)
antineoplastic antibiotics (Y43.3)
Y40.0 Penicillins
Y40.1 Cefalosporins and other beta-lactam antibiotics
Y40.2 Chloramphenicol group
Y40.3 Macrolides
Y40.4 Tetracyclines
Y40.5 Aminoglycosides
Incl.:
Streptomycin
Y40.6 Rifamycins
Y40.7 Antifungal antibiotics, systemically used
Y40.8 Other systemic antibiotics
Y40.9 Systemic antibiotic, unspecified

Y41 Other systemic anti-infectives and antiparasitics

Excl.:
anti-infectives, topically used (Y56.-)
Y41.0 Sulfonamides
Y41.1 Antimycobacterial drugs
Excl.:
rifamycins (Y40.6)
streptomycin (Y40.5)
Y41.2 Antimalarials and drugs acting on other blood protozoa
Excl.:
hydroxyquinoline derivatives (Y41.8)
Y41.3 Other antiprotozoal drugs
Y41.4 Anthelminthics
Y41.5 Antiviral drugs
Excl.:
amantadine (Y46.7)
cytarabine (Y43.1)
Y41.8 Other specified systemic anti-infectives and antiparasitics
Incl.:
Hydroxyquinoline derivatives
Excl.:
antimalarial drugs (Y41.2)
Y41.9 Systemic anti-infective and antiparasitic, unspecified

Y42 Hormones and their synthetic substitutes and antagonists, not elsewhere classified

Excl.:
mineralocorticoids and their antagonists (Y54.0-Y54.1)
oxytocic hormones (Y55.0)
parathyroid hormones and derivatives (Y54.7)
Y42.0 Glucocorticoids and synthetic analogues
Excl.:
glucocorticoids, topically used (Y56.-)
Y42.1 Thyroid hormones and substitutes
Y42.2 Antithyroid drugs
Y42.3 Insulin and oral hypoglycaemic [antidiabetic] drugs
Y42.4 Oral contraceptives
Incl.:
Multiple- and single-ingredient preparations
Y42.5 Other estrogens and progestogens
Incl.:
Mixtures and substitutes
Y42.6 Antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified
Incl.:
Tamoxifen
Y42.7 Androgens and anabolic congeners
Y42.8 Other and unspecified hormones and their synthetic substitutes
Incl.:
Anterior pituitary [adenohypophyseal] hormones
Y42.9 Other and unspecified hormone antagonists

Y43 Primarily systemic agents

Excl.:
vitamins NEC (Y57.7)
Y43.0 Antiallergic and antiemetic drugs
Excl.:
phenothiazine-based neuroleptics (Y49.3)
Y43.1 Antineoplastic antimetabolites
Incl.:
Cytarabine
Y43.2 Antineoplastic natural products
Y43.3 Other antineoplastic drugs
Incl.:
Antineoplastic antibiotics
Excl.:
tamoxifen (Y42.6)
Y43.4 Immunosuppressive agents
Y43.5 Acidifying and alkalizing agents
Y43.6 Enzymes, not elsewhere classified
Y43.8 Other primarily systemic agents, not elsewhere classified
Incl.:
Heavy-metal antagonists
Y43.9 Primarily systemic agent, unspecified

Y44 Agents primarily affecting blood constituents

Y44.0 Iron preparations and other anti-hypochromic-anaemia preparations
Y44.1 Vitamin B12, folic acid and other anti-megaloblastic-anaemia preparations
Y44.2 Anticoagulants
Y44.3 Anticoagulant antagonists, vitamin K and other coagulants
Y44.4 Antithrombotic drugs [platelet-aggregation inhibitors]
Excl.:
acetylsalicylic acid (Y45.1)
dipyridamole (Y52.3)
Y44.5 Thrombolytic drugs
Y44.6 Natural blood and blood products
Excl.:
immunoglobulin (Y59.3)
Y44.7 Plasma substitutes
Y44.9 Other and unspecified agents affecting blood constituents

Y45 Analgesics, antipyretics and anti-inflammatory drugs

Y45.0 Opioids and related analgesics
Y45.1 Salicylates
Y45.2 Propionic acid derivatives
Incl.:
Propanoic acid derivatives
Y45.3 Other nonsteroidal anti-inflammatory drugs [NSAID]
Y45.4 Antirheumatics
Excl.:
chloroquine (Y41.2)
glucocorticoids (Y42.0)
salicylates (Y45.1)
Y45.5 4-Aminophenol derivatives
Y45.8 Other analgesics and antipyretics
Y45.9 Analgesic, antipyretic and anti-inflammatory drug, unspecified

Y46 Antiepileptics and antiparkinsonism drugs

Excl.:
acetazolamide (Y54.2)
barbiturates NEC (Y47.0)
benzodiazepines (Y47.1)
paraldehyde (Y47.3)
Y46.0 Succinimides
Y46.1 Oxazolidinediones
Y46.2 Hydantoin derivatives
Y46.3 Deoxybarbiturates
Y46.4 Iminostilbenes
Incl.:
Carbamazepine
Y46.5 Valproic acid
Y46.6 Other and unspecified antiepileptics
Y46.7 Antiparkinsonism drugs
Incl.:
Amantadine
Y46.8 Antispasticity drugs
Excl.:
benzodiazepines (Y47.1)

Y47 Sedatives, hypnotics and antianxiety drugs

Y47.0 Barbiturates, not elsewhere classified
Excl.:
deoxybarbiturates (Y46.3)
thiobarbiturates (Y48.1)
Y47.1 Benzodiazepines
Y47.2 Cloral derivatives
Y47.3 Paraldehyde
Y47.4 Bromine compounds
Y47.5 Mixed sedatives and hypnotics, not elsewhere classified
Y47.8 Other sedatives, hypnotics and antianxiety drugs
Incl.:
Methaqualone
Y47.9 Sedative, hypnotic and antianxiety drug, unspecified
Incl.:
  • Sleeping:
    • draught
    • drug
    • tablet
  • NOS

Y48 Anaesthetics and therapeutic gases

Y48.0 Inhaled anaesthetics
Y48.1 Parenteral anaesthetics
Incl.:
Thiobarbiturates
Y48.2 Other and unspecified general anaesthetics
Y48.3 Local anaesthetics
Y48.4 Anaesthetic, unspecified
Y48.5 Therapeutic gases

Y49 Psychotropic drugs, not elsewhere classified

Excl.:
appetite depressants [anorectics] (Y57.0)
barbiturates NEC (Y47.0)
benzodiazepines (Y47.1)
caffeine (Y50.2)
cocaine (Y48.3)
methaqualone (Y47.8)
Y49.0 Tricyclic and tetracyclic antidepressants
Y49.1 Monoamine-oxidase-inhibitor antidepressants
Y49.2 Other and unspecified antidepressants
Y49.3 Phenothiazine antipsychotics and neuroleptics
Y49.4 Butyrophenone and thioxanthene neuroleptics
Y49.5 Other antipsychotics and neuroleptics
Excl.:
rauwolfia (Y52.5)
Y49.6 Psychodysleptics [hallucinogens]
Y49.7 Psychostimulants with abuse potential
Y49.8 Other psychotropic drugs, not elsewhere classified
Y49.9 Psychotropic drug, unspecified

Y50 Central nervous system stimulants, not elsewhere classified

Y50.0 Analeptics
Y50.1 Opioid receptor antagonists
Y50.2 Methylxanthines, not elsewhere classified
Incl.:
Caffeine
Excl.:
aminophylline (Y55.6)
theobromine (Y55.6)
theophylline (Y55.6)
Y50.8 Other central nervous system stimulants
Y50.9 Central nervous system stimulant, unspecified

Y51 Drugs primarily affecting the autonomic nervous system

Y51.0 Anticholinesterase agents
Y51.1 Other parasympathomimetics [cholinergics]
Y51.2 Ganglionic blocking drugs, not elsewhere classified
Y51.3 Other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, not elsewhere classified
Incl.:
Papaverine
Y51.4 Predominantly alpha-adrenoreceptor agonists, not elsewhere classified
Incl.:
Metaraminol
Y51.5 Predominantly beta-adrenoreceptor agonists, not elsewhere classified
Excl.:
salbutamol (Y55.6)
Y51.6 Alpha-adrenoreceptor antagonists, not elsewhere classified
Excl.:
ergot alkaloids (Y55.0)
Y51.7 Beta-adrenoreceptor antagonists, not elsewhere classified
Y51.8 Centrally acting and adrenergic-neuron-blocking agents, not elsewhere classified
Excl.:
clonidine (Y52.5)
guanethidine (Y52.5)
Y51.9 Other and unspecified drugs primarily affecting the autonomic nervous system
Incl.:
Drugs stimulating both alpha- and beta-adrenoreceptors

Y52 Agents primarily affecting the cardiovascular system

Excl.:
metaraminol (Y51.4)
Y52.0 Cardiac-stimulant glycosides and drugs of similar action
Y52.1 Calcium-channel blockers
Y52.2 Other antidysrhythmic drugs, not elsewhere classified
Excl.:
beta-adrenoreceptor antagonists (Y51.7)
Y52.3 Coronary vasodilators, not elsewhere classified
Incl.:
Dipyridamole
Excl.:
beta-adrenoreceptor antagonists (Y51.7)
calcium-channel blockers (Y52.1)
Y52.4 Angiotensin-converting-enzyme inhibitors
Y52.5 Other antihypertensive drugs, not elsewhere classified
Incl.:
Clonidine
Guanethidine
Rauwolfia
Excl.:
beta-adrenoreceptor antagonists (Y51.7)
calcium-channel blockers (Y52.1)
diuretics (Y54.0-Y54.5)
Y52.6 Antihyperlipidaemic and antiarteriosclerotic drugs
Y52.7 Peripheral vasodilators
Incl.:
Nicotinic acid (derivatives)
Excl.:
papaverine (Y51.3)
Y52.8 Antivaricose drugs, including sclerosing agents
Y52.9 Other and unspecified agents primarily affecting the cardiovascular system

Y53 Agents primarily affecting the gastrointestinal system

Y53.0 Histamine H2-receptor antagonists
Y53.1 Other antacids and anti-gastric-secretion drugs
Y53.2 Stimulant laxatives
Y53.3 Saline and osmotic laxatives
Y53.4 Other laxatives
Incl.:
Intestinal atonia drugs
Y53.5 Digestants
Y53.6 Antidiarrhoeal drugs
Excl.:
systemic antibiotics and other anti-infectives (Y40-Y41)
Y53.7 Emetics
Y53.8 Other agents primarily affecting the gastrointestinal system
Y53.9 Agent primarily affecting the gastrointestinal system, unspecified

Y54 Agents primarily affecting water-balance and mineral and uric acid metabolism

Y54.0 Mineralocorticoids
Y54.1 Mineralocorticoid antagonists [aldosterone antagonists]
Y54.2 Carbonic-anhydrase inhibitors
Incl.:
Acetazolamide
Y54.3 Benzothiadiazine derivatives
Y54.4 Loop [high-ceiling] diuretics
Y54.5 Other diuretics
Y54.6 Electrolytic, caloric and water-balance agents
Incl.:
Oral rehydration salts
Y54.7 Agents affecting calcification
Incl.:
Parathyroid hormones and derivatives
Vitamin D group
Y54.8 Agents affecting uric acid metabolism
Y54.9 Mineral salts, not elsewhere classified

Y55 Agents primarily acting on smooth and skeletal muscles and the respiratory system

Y55.0 Oxytocic drugs
Incl.:
Ergot alkaloids
Excl.:
estrogens, progestogens and antagonists (Y42.5-Y42.6)
Y55.1 Skeletal muscle relaxants [neuromuscular blocking agents]
Excl.:
antispasticity drugs (Y46.8)
Y55.2 Other and unspecified agents primarily acting on muscles
Y55.3 Antitussives
Y55.4 Expectorants
Y55.5 Anti-common-cold drugs
Y55.6 Antiasthmatics, not elsewhere classified
Incl.:
Aminophylline
Salbutamol
Theobromine
Theophylline
Excl.:
beta-adrenoreceptor agonists (Y51.5)
anterior pituitary [adenohypophyseal] hormones (Y42.8)
Y55.7 Other and unspecified agents primarily acting on the respiratory system

Y56 Topical agents primarily affecting skin and mucous membrane and ophthalmological, otorhinolaryngological and dental drugs

Incl.:
glucocorticoids, topically used
Y56.0 Local antifungal, anti-infective and anti-inflammatory drugs, not elsewhere classified
Y56.1 Antipruritics
Y56.2 Local astringents and local detergents
Y56.3 Emollients, demulcents and protectants
Y56.4 Keratolytics, keratoplastics and other hair treatment drugs and preparations
Y56.5 Ophthalmological drugs and preparations
Y56.6 Otorhinolaryngological drugs and preparations
Y56.7 Dental drugs, topically applied
Y56.8 Other topical agents
Incl.:
Spermicides
Y56.9 Topical agent, unspecified

Y57 Other and unspecified drugs and medicaments

Y57.0 Appetite depressants [anorectics]
Y57.1 Lipotropic drugs
Y57.2 Antidotes and chelating agents, not elsewhere classified
Y57.3 Alcohol deterrents
Y57.4 Pharmaceutical excipients
Y57.5 X-ray contrast media
Y57.6 Other diagnostic agents
Y57.7 Vitamins, not elsewhere classified
Excl.:
nicotinic acid (Y52.7)
vitamin B12 (Y44.1)
vitamin D (Y54.7)
vitamin K (Y44.3)
Y57.8 Other drugs and medicaments
Y57.9 Drug or medicament, unspecified

Y58 Bacterial vaccines

Y58.0 BCG vaccine
Y58.1 Typhoid and paratyphoid vaccine
Y58.2 Cholera vaccine
Y58.3 Plague vaccine
Y58.4 Tetanus vaccine
Y58.5 Diphtheria vaccine
Y58.6 Pertussis vaccine, including combinations with a pertussis component
Y58.8 Mixed bacterial vaccines, except combinations with a pertussis component
Y58.9 Other and unspecified bacterial vaccines

Y59 Other and unspecified vaccines and biological substances

Y59.0 Viral vaccines
Y59.1 Rickettsial vaccines
Y59.2 Protozoal vaccines
Y59.3 Immunoglobulin
Y59.8 Other specified vaccines and biological substances
Y59.9 Vaccine or biological substance, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Complications of medical and surgical care
(Y40-Y84)

Incl.:
complications of medical devices
correct drug properly administered in therapeutic or prophylactic dosage as the cause of any adverse effect
misadventures to patients during surgical and medical care
surgical and medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure
Excl.:
accidental overdose of drug or wrong drug given or taken in error (X40-X44)

Drugs, medicaments and biological substances causing adverse effects in therapeutic use
(Y40-Y59)

Note:

For list of specific drugs classified under the fourth-character subdivisions, see Table of drugs and chemicals in Alphabetical Index.

Excl.:
accidents in the technique of administration of drugs, medicaments and biological substances in medical and surgical procedures (Y60-Y69)

Y40 Systemic antibiotics

Excl.:
antibiotics, topically used (Y56.-)
antineoplastic antibiotics (Y43.3)
Y40.0 Penicillins
Y40.1 Cefalosporins and other beta-lactam antibiotics
Y40.2 Chloramphenicol group
Y40.3 Macrolides
Y40.4 Tetracyclines
Y40.5 Aminoglycosides
Incl.:
Streptomycin
Y40.6 Rifamycins
Y40.7 Antifungal antibiotics, systemically used
Y40.8 Other systemic antibiotics
Y40.9 Systemic antibiotic, unspecified

Y41 Other systemic anti-infectives and antiparasitics

Excl.:
anti-infectives, topically used (Y56.-)
Y41.0 Sulfonamides
Y41.1 Antimycobacterial drugs
Excl.:
rifamycins (Y40.6)
streptomycin (Y40.5)
Y41.2 Antimalarials and drugs acting on other blood protozoa
Excl.:
hydroxyquinoline derivatives (Y41.8)
Y41.3 Other antiprotozoal drugs
Y41.4 Anthelminthics
Y41.5 Antiviral drugs
Excl.:
amantadine (Y46.7)
cytarabine (Y43.1)
Y41.8 Other specified systemic anti-infectives and antiparasitics
Incl.:
Hydroxyquinoline derivatives
Excl.:
antimalarial drugs (Y41.2)
Y41.9 Systemic anti-infective and antiparasitic, unspecified

Y42 Hormones and their synthetic substitutes and antagonists, not elsewhere classified

Excl.:
mineralocorticoids and their antagonists (Y54.0-Y54.1)
oxytocic hormones (Y55.0)
parathyroid hormones and derivatives (Y54.7)
Y42.0 Glucocorticoids and synthetic analogues
Excl.:
glucocorticoids, topically used (Y56.-)
Y42.1 Thyroid hormones and substitutes
Y42.2 Antithyroid drugs
Y42.3 Insulin and oral hypoglycaemic [antidiabetic] drugs
Y42.4 Oral contraceptives
Incl.:
Multiple- and single-ingredient preparations
Y42.5 Other estrogens and progestogens
Incl.:
Mixtures and substitutes
Y42.6 Antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified
Incl.:
Tamoxifen
Y42.7 Androgens and anabolic congeners
Y42.8 Other and unspecified hormones and their synthetic substitutes
Incl.:
Anterior pituitary [adenohypophyseal] hormones
Y42.9 Other and unspecified hormone antagonists

Y43 Primarily systemic agents

Excl.:
vitamins NEC (Y57.7)
Y43.0 Antiallergic and antiemetic drugs
Excl.:
phenothiazine-based neuroleptics (Y49.3)
Y43.1 Antineoplastic antimetabolites
Incl.:
Cytarabine
Y43.2 Antineoplastic natural products
Y43.3 Other antineoplastic drugs
Incl.:
Antineoplastic antibiotics
Excl.:
tamoxifen (Y42.6)
Y43.4 Immunosuppressive agents
Y43.5 Acidifying and alkalizing agents
Y43.6 Enzymes, not elsewhere classified
Y43.8 Other primarily systemic agents, not elsewhere classified
Incl.:
Heavy-metal antagonists
Y43.9 Primarily systemic agent, unspecified

Y44 Agents primarily affecting blood constituents

Y44.0 Iron preparations and other anti-hypochromic-anaemia preparations
Y44.1 Vitamin B12, folic acid and other anti-megaloblastic-anaemia preparations
Y44.2 Anticoagulants
Y44.3 Anticoagulant antagonists, vitamin K and other coagulants
Y44.4 Antithrombotic drugs [platelet-aggregation inhibitors]
Excl.:
acetylsalicylic acid (Y45.1)
dipyridamole (Y52.3)
Y44.5 Thrombolytic drugs
Y44.6 Natural blood and blood products
Excl.:
immunoglobulin (Y59.3)
Y44.7 Plasma substitutes
Y44.9 Other and unspecified agents affecting blood constituents

Y45 Analgesics, antipyretics and anti-inflammatory drugs

Y45.0 Opioids and related analgesics
Y45.1 Salicylates
Y45.2 Propionic acid derivatives
Incl.:
Propanoic acid derivatives
Y45.3 Other nonsteroidal anti-inflammatory drugs [NSAID]
Y45.4 Antirheumatics
Excl.:
chloroquine (Y41.2)
glucocorticoids (Y42.0)
salicylates (Y45.1)
Y45.5 4-Aminophenol derivatives
Y45.8 Other analgesics and antipyretics
Y45.9 Analgesic, antipyretic and anti-inflammatory drug, unspecified

Y46 Antiepileptics and antiparkinsonism drugs

Excl.:
acetazolamide (Y54.2)
barbiturates NEC (Y47.0)
benzodiazepines (Y47.1)
paraldehyde (Y47.3)
Y46.0 Succinimides
Y46.1 Oxazolidinediones
Y46.2 Hydantoin derivatives
Y46.3 Deoxybarbiturates
Y46.4 Iminostilbenes
Incl.:
Carbamazepine
Y46.5 Valproic acid
Y46.6 Other and unspecified antiepileptics
Y46.7 Antiparkinsonism drugs
Incl.:
Amantadine
Y46.8 Antispasticity drugs
Excl.:
benzodiazepines (Y47.1)

Y47 Sedatives, hypnotics and antianxiety drugs

Y47.0 Barbiturates, not elsewhere classified
Excl.:
deoxybarbiturates (Y46.3)
thiobarbiturates (Y48.1)
Y47.1 Benzodiazepines
Y47.2 Cloral derivatives
Y47.3 Paraldehyde
Y47.4 Bromine compounds
Y47.5 Mixed sedatives and hypnotics, not elsewhere classified
Y47.8 Other sedatives, hypnotics and antianxiety drugs
Incl.:
Methaqualone
Y47.9 Sedative, hypnotic and antianxiety drug, unspecified
Incl.:
  • Sleeping:
    • draught
    • drug
    • tablet
  • NOS

Y48 Anaesthetics and therapeutic gases

Y48.0 Inhaled anaesthetics
Y48.1 Parenteral anaesthetics
Incl.:
Thiobarbiturates
Y48.2 Other and unspecified general anaesthetics
Y48.3 Local anaesthetics
Y48.4 Anaesthetic, unspecified
Y48.5 Therapeutic gases

Y49 Psychotropic drugs, not elsewhere classified

Excl.:
appetite depressants [anorectics] (Y57.0)
barbiturates NEC (Y47.0)
benzodiazepines (Y47.1)
caffeine (Y50.2)
cocaine (Y48.3)
methaqualone (Y47.8)
Y49.0 Tricyclic and tetracyclic antidepressants
Y49.1 Monoamine-oxidase-inhibitor antidepressants
Y49.2 Other and unspecified antidepressants
Y49.3 Phenothiazine antipsychotics and neuroleptics
Y49.4 Butyrophenone and thioxanthene neuroleptics
Y49.5 Other antipsychotics and neuroleptics
Excl.:
rauwolfia (Y52.5)
Y49.6 Psychodysleptics [hallucinogens]
Y49.7 Psychostimulants with abuse potential
Y49.8 Other psychotropic drugs, not elsewhere classified
Y49.9 Psychotropic drug, unspecified

Y50 Central nervous system stimulants, not elsewhere classified

Y50.0 Analeptics
Y50.1 Opioid receptor antagonists
Y50.2 Methylxanthines, not elsewhere classified
Incl.:
Caffeine
Excl.:
aminophylline (Y55.6)
theobromine (Y55.6)
theophylline (Y55.6)
Y50.8 Other central nervous system stimulants
Y50.9 Central nervous system stimulant, unspecified

Y51 Drugs primarily affecting the autonomic nervous system

Y51.0 Anticholinesterase agents
Y51.1 Other parasympathomimetics [cholinergics]
Y51.2 Ganglionic blocking drugs, not elsewhere classified
Y51.3 Other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, not elsewhere classified
Incl.:
Papaverine
Y51.4 Predominantly alpha-adrenoreceptor agonists, not elsewhere classified
Incl.:
Metaraminol
Y51.5 Predominantly beta-adrenoreceptor agonists, not elsewhere classified
Excl.:
salbutamol (Y55.6)
Y51.6 Alpha-adrenoreceptor antagonists, not elsewhere classified
Excl.:
ergot alkaloids (Y55.0)
Y51.7 Beta-adrenoreceptor antagonists, not elsewhere classified
Y51.8 Centrally acting and adrenergic-neuron-blocking agents, not elsewhere classified
Excl.:
clonidine (Y52.5)
guanethidine (Y52.5)
Y51.9 Other and unspecified drugs primarily affecting the autonomic nervous system
Incl.:
Drugs stimulating both alpha- and beta-adrenoreceptors

Y52 Agents primarily affecting the cardiovascular system

Excl.:
metaraminol (Y51.4)
Y52.0 Cardiac-stimulant glycosides and drugs of similar action
Y52.1 Calcium-channel blockers
Y52.2 Other antidysrhythmic drugs, not elsewhere classified
Excl.:
beta-adrenoreceptor antagonists (Y51.7)
Y52.3 Coronary vasodilators, not elsewhere classified
Incl.:
Dipyridamole
Excl.:
beta-adrenoreceptor antagonists (Y51.7)
calcium-channel blockers (Y52.1)
Y52.4 Angiotensin-converting-enzyme inhibitors
Y52.5 Other antihypertensive drugs, not elsewhere classified
Incl.:
Clonidine
Guanethidine
Rauwolfia
Excl.:
beta-adrenoreceptor antagonists (Y51.7)
calcium-channel blockers (Y52.1)
diuretics (Y54.0-Y54.5)
Y52.6 Antihyperlipidaemic and antiarteriosclerotic drugs
Y52.7 Peripheral vasodilators
Incl.:
Nicotinic acid (derivatives)
Excl.:
papaverine (Y51.3)
Y52.8 Antivaricose drugs, including sclerosing agents
Y52.9 Other and unspecified agents primarily affecting the cardiovascular system

Y53 Agents primarily affecting the gastrointestinal system

Y53.0 Histamine H2-receptor antagonists
Y53.1 Other antacids and anti-gastric-secretion drugs
Y53.2 Stimulant laxatives
Y53.3 Saline and osmotic laxatives
Y53.4 Other laxatives
Incl.:
Intestinal atonia drugs
Y53.5 Digestants
Y53.6 Antidiarrhoeal drugs
Excl.:
systemic antibiotics and other anti-infectives (Y40-Y41)
Y53.7 Emetics
Y53.8 Other agents primarily affecting the gastrointestinal system
Y53.9 Agent primarily affecting the gastrointestinal system, unspecified

Y54 Agents primarily affecting water-balance and mineral and uric acid metabolism

Y54.0 Mineralocorticoids
Y54.1 Mineralocorticoid antagonists [aldosterone antagonists]
Y54.2 Carbonic-anhydrase inhibitors
Incl.:
Acetazolamide
Y54.3 Benzothiadiazine derivatives
Y54.4 Loop [high-ceiling] diuretics
Y54.5 Other diuretics
Y54.6 Electrolytic, caloric and water-balance agents
Incl.:
Oral rehydration salts
Y54.7 Agents affecting calcification
Incl.:
Parathyroid hormones and derivatives
Vitamin D group
Y54.8 Agents affecting uric acid metabolism
Y54.9 Mineral salts, not elsewhere classified

Y55 Agents primarily acting on smooth and skeletal muscles and the respiratory system

Y55.0 Oxytocic drugs
Incl.:
Ergot alkaloids
Excl.:
estrogens, progestogens and antagonists (Y42.5-Y42.6)
Y55.1 Skeletal muscle relaxants [neuromuscular blocking agents]
Excl.:
antispasticity drugs (Y46.8)
Y55.2 Other and unspecified agents primarily acting on muscles
Y55.3 Antitussives
Y55.4 Expectorants
Y55.5 Anti-common-cold drugs
Y55.6 Antiasthmatics, not elsewhere classified
Incl.:
Aminophylline
Salbutamol
Theobromine
Theophylline
Excl.:
beta-adrenoreceptor agonists (Y51.5)
anterior pituitary [adenohypophyseal] hormones (Y42.8)
Y55.7 Other and unspecified agents primarily acting on the respiratory system

Y56 Topical agents primarily affecting skin and mucous membrane and ophthalmological, otorhinolaryngological and dental drugs

Incl.:
glucocorticoids, topically used
Y56.0 Local antifungal, anti-infective and anti-inflammatory drugs, not elsewhere classified
Y56.1 Antipruritics
Y56.2 Local astringents and local detergents
Y56.3 Emollients, demulcents and protectants
Y56.4 Keratolytics, keratoplastics and other hair treatment drugs and preparations
Y56.5 Ophthalmological drugs and preparations
Y56.6 Otorhinolaryngological drugs and preparations
Y56.7 Dental drugs, topically applied
Y56.8 Other topical agents
Incl.:
Spermicides
Y56.9 Topical agent, unspecified

Y57 Other and unspecified drugs and medicaments

Y57.0 Appetite depressants [anorectics]
Y57.1 Lipotropic drugs
Y57.2 Antidotes and chelating agents, not elsewhere classified
Y57.3 Alcohol deterrents
Y57.4 Pharmaceutical excipients
Y57.5 X-ray contrast media
Y57.6 Other diagnostic agents
Y57.7 Vitamins, not elsewhere classified
Excl.:
nicotinic acid (Y52.7)
vitamin B12 (Y44.1)
vitamin D (Y54.7)
vitamin K (Y44.3)
Y57.8 Other drugs and medicaments
Y57.9 Drug or medicament, unspecified

Y58 Bacterial vaccines

Y58.0 BCG vaccine
Y58.1 Typhoid and paratyphoid vaccine
Y58.2 Cholera vaccine
Y58.3 Plague vaccine
Y58.4 Tetanus vaccine
Y58.5 Diphtheria vaccine
Y58.6 Pertussis vaccine, including combinations with a pertussis component
Y58.8 Mixed bacterial vaccines, except combinations with a pertussis component
Y58.9 Other and unspecified bacterial vaccines

Y59 Other and unspecified vaccines and biological substances

Y59.0 Viral vaccines
Y59.1 Rickettsial vaccines
Y59.2 Protozoal vaccines
Y59.3 Immunoglobulin
Y59.8 Other specified vaccines and biological substances
Y59.9 Vaccine or biological substance, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Complications of medical and surgical care
(Y40-Y84)

Incl.:
complications of medical devices
correct drug properly administered in therapeutic or prophylactic dosage as the cause of any adverse effect
misadventures to patients during surgical and medical care
surgical and medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure
Excl.:
accidental overdose of drug or wrong drug given or taken in error (X40-X44)

Misadventures to patients during surgical and medical care
(Y60-Y69)

Excl.:
breakdown or malfunctioning of medical device (during procedure)(after implantation)(ongoing use) (Y70-Y82)
medical devices associated with adverse incidents due to external causes classified elsewhere (V01-Y59, Y85-Y87, Y89)
surgical and medical procedures as the cause of abnormal reaction of the patient, without mention of misadventure at the time of the procedure (Y83-Y84)

Y60 Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care

Y60.0 During surgical operation
Y60.1 During infusion or transfusion
Y60.2 During kidney dialysis or other perfusion
Y60.3 During injection or immunization
Y60.4 During endoscopic examination
Y60.5 During heart catheterization
Y60.6 During aspiration, puncture and other catheterization
Y60.7 During administration of enema
Y60.8 During other surgical and medical care
Y60.9 During unspecified surgical and medical care

Y61 Foreign object accidentally left in body during surgical and medical care

Y61.0 During surgical operation
Y61.1 During infusion or transfusion
Y61.2 During kidney dialysis or other perfusion
Y61.3 During injection or immunization
Y61.4 During endoscopic examination
Y61.5 During heart catheterization
Y61.6 During aspiration, puncture and other catheterization
Y61.7 During removal of catheter or packing
Y61.8 During other surgical and medical care
Y61.9 During unspecified surgical and medical care

Y62 Failure of sterile precautions during surgical and medical care

Y62.0 During surgical operation
Y62.1 During infusion or transfusion
Y62.2 During kidney dialysis or other perfusion
Y62.3 During injection or immunization
Y62.4 During endoscopic examination
Y62.5 During heart catheterization
Y62.6 During aspiration, puncture and other catheterization
Y62.8 During other surgical and medical care
Y62.9 During unspecified surgical and medical care

Y63 Failure in dosage during surgical and medical care

Excl.:
accidental overdose of drug or wrong drug given in error (X40-X44)
Y63.0 Excessive amount of blood or other fluid given during transfusion or infusion
Y63.1 Incorrect dilution of fluid used during infusion
Y63.2 Overdose of radiation given during therapy
Y63.3 Inadvertent exposure of patient to radiation during medical care
Y63.4 Failure in dosage in electroshock or insulin-shock therapy
Y63.5 Inappropriate temperature in local application and packing
Y63.6 Nonadministration of necessary drug, medicament or biological substance
Y63.8 Failure in dosage during other surgical and medical care
Y63.9 Failure in dosage during unspecified surgical and medical care

Y64 Contaminated medical or biological substances

Y64.0 Contaminated medical or biological substance, transfused or infused
Y64.1 Contaminated medical or biological substance, injected or used for immunization
Y64.8 Contaminated medical or biological substance administered by other means
Y64.9 Contaminated medical or biological substance administered by unspecified means
Incl.:
Administered contaminated medical or biological substance NOS

Y65 Other misadventures during surgical and medical care

Y65.0 Mismatched blood used in transfusion
Y65.1 Wrong fluid used in infusion
Y65.2 Failure in suture or ligature during surgical operation
Y65.3 Endotracheal tube wrongly placed during anaesthetic procedure
Y65.4 Failure to introduce or to remove other tube or instrument
Y65.5 Performance of inappropriate operation
Y65.8 Other specified misadventures during surgical and medical care

Y66 Nonadministration of surgical and medical care

Incl.:
Premature cessation of surgical and medical care

Y69 Unspecified misadventure during surgical and medical care

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Complications of medical and surgical care
(Y40-Y84)

Incl.:
complications of medical devices
correct drug properly administered in therapeutic or prophylactic dosage as the cause of any adverse effect
misadventures to patients during surgical and medical care
surgical and medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure
Excl.:
accidental overdose of drug or wrong drug given or taken in error (X40-X44)

Medical devices associated with adverse incidents in diagnostic and therapeutic use
(Y70-Y82)

Incl.:
breakdown or malfunctioning of medical device (during procedure)(after implantation)(ongoing use)
Excl.:
later complications following use of medical devices without mention of breakdown or malfunctioning of medical device (Y83-Y84)
medical devices associated with adverse incidents due to external causes classified elsewhere (V01-Y59, Y85-Y87, Y89)
misadventure to patients during surgical and medical care, classifiable to Y60-Y69 (Y60-Y69)
Modifiers

The following fourth-character subdivisions are for use with categories Y70-Y82:

Code Title
.0
Diagnostic and monitoring devices
.1
Therapeutic (nonsurgical) and rehabilitative devices
.2
Prosthetic and other implants, materials and accessory devices
.3
Surgical instruments, materials and devices (including sutures)
.8
Miscellaneous devices, not elsewhere classified

Y70 Anaesthesiology devices associated with adverse incidents

Y71 Cardiovascular devices associated with adverse incidents

Y72 Otorhinolaryngological devices associated with adverse incidents

Y73 Gastroenterology and urology devices associated with adverse incidents

Y74 General hospital and personal-use devices associated with adverse incidents

Y75 Neurological devices associated with adverse incidents

Y76 Obstetric and gynaecological devices associated with adverse incidents

Y77 Ophthalmic devices associated with adverse incidents

Y78 Radiological devices associated with adverse incidents

Y79 Orthopaedic devices associated with adverse incidents

Y80 Physical medicine devices associated with adverse incidents

Y81 General- and plastic-surgery devices associated with adverse incidents

Y82 Other and unspecified medical devices associated with adverse incidents

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Complications of medical and surgical care
(Y40-Y84)

Incl.:
complications of medical devices
correct drug properly administered in therapeutic or prophylactic dosage as the cause of any adverse effect
misadventures to patients during surgical and medical care
surgical and medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure
Excl.:
accidental overdose of drug or wrong drug given or taken in error (X40-X44)

Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure
(Y83-Y84)

Excl.:
breakdown or malfunctioning of medical device (during procedure)(after implantation)(ongoing use) (Y70-Y82)
medical devices associated with adverse incidents due to external causes classified elsewhere (V01-Y59, Y85-Y87, Y89)
misadventures to patients during surgical and medical care, classifiable to Y60-Y69 (Y60-Y69)

Y83 Surgical operation and other surgical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure

Y83.0 Surgical operation with transplant of whole organ
Y83.1 Surgical operation with implant of artificial internal device
Y83.2 Surgical operation with anastomosis, bypass or graft
Y83.3 Surgical operation with formation of external stoma
Y83.4 Other reconstructive surgery
Y83.5 Amputation of limb(s)
Y83.6 Removal of other organ (partial) (total)
Y83.8 Other surgical procedures
Y83.9 Surgical procedure, unspecified

Y84 Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure

Y84.0 Cardiac catheterization
Y84.1 Kidney dialysis
Y84.2 Radiological procedure and radiotherapy
Y84.3 Shock therapy
Y84.4 Aspiration of fluid
Y84.5 Insertion of gastric or duodenal sound
Y84.6 Urinary catheterization
Y84.7 Blood-sampling
Y84.8 Other medical procedures
Y84.9 Medical procedure, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Sequelae of external causes of morbidity and mortality
(Y85-Y89)

Note:

Categories Y85-Y89 are to be used to indicate circumstances as the cause of death, impairment or disability from sequelae or "late effects", which are themselves classified elsewhere. The sequelae include conditions reported as such, or occurring as "late effects" one year or more after the originating event.

Coding-Hint
Not to be used for chronic poisoning and harmful exposure. Code these to current poisoning and harmful exposure.

Y85 Sequelae of transport accidents

Y85.0 Sequelae of motor-vehicle accident
Y85.9 Sequelae of other and unspecified transport accidents

Y86 Sequelae of other accidents

Y87 Sequelae of intentional self-harm, assault and events of undetermined intent

Y87.0 Sequelae of intentional self-harm
Y87.1 Sequelae of assault
Y87.2 Sequelae of events of undetermined intent

Y88 Sequelae with surgical and medical care as external cause

Y88.0 Sequelae of adverse effects caused by drugs, medicaments and biological substances in therapeutic use
Y88.1 Sequelae of misadventures to patients during surgical and medical procedures
Y88.2 Sequelae of adverse incidents associated with medical devices in diagnostic and therapeutic use
Y88.3 Sequelae of surgical and medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure

Y89 Sequelae of other external causes

Y89.0 Sequelae of legal intervention
Y89.1 Sequelae of war operations
Y89.9 Sequelae of unspecified external cause

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XX
External causes of morbidity and mortality
(V01-Y98)

Supplementary factors related to causes of morbidity and mortality classified elsewhere
(Y90-Y98)

Note:

These categories may be used, if desired, to provide supplementary information concerning causes of morbidity and mortality. They are not to be used for single-condition coding in morbidity or mortality.

Y90 Evidence of alcohol involvement determined by blood alcohol level

Y90.0 Blood alcohol level of less than 20 mg/100 ml
Y90.1 Blood alcohol level of 20-39 mg/100 ml
Y90.2 Blood alcohol level of 40-59 mg/100 ml
Y90.3 Blood alcohol level of 60-79 mg/100 ml
Y90.4 Blood alcohol level of 80-99 mg/100 ml
Y90.5 Blood alcohol level of 100-119 mg/100 ml
Y90.6 Blood alcohol level of 120-199 mg/100 ml
Y90.7 Blood alcohol level of 200-239 mg/100 ml
Y90.8 Blood alcohol level of 240 mg/100 ml or more
Y90.9 Presence of alcohol in blood, level not specified

Y91 Evidence of alcohol involvement determined by level of intoxication

Excl.:
evidence of alcohol involvement determined by blood alcohol content (Y90.-)
Y91.0 Mild alcohol intoxication
Additional Text

Smell of alcohol on breath, slight behavioural disturbance in functions and responses, or slight difficulty in coordination.

Y91.1 Moderate alcohol intoxication
Additional Text

Smell of alcohol on breath, moderate behavioural disturbance in functions and responses, or moderate difficulty in coordination.

Y91.2 Severe alcohol intoxication
Additional Text

Severe disturbance in functions and responses, severe difficulty in coordination, or impaired ability to cooperate.

Y91.3 Very severe alcohol intoxication
Additional Text

Very severe disturbance in functions and responses, very severe difficulty in coordination, or loss of ability to cooperate.

Y91.9 Alcohol involvement, not otherwise specified
Incl.:
Suspected alcohol involvement NOS

Y95 Nosocomial condition

Y96 Work-related condition

Y97 Environmental-pollution-related condition

Y98 Lifestyle-related condition

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XXI
Factors influencing health status and contact with health services
(Z00-Z99)

Persons encountering health services for examination and investigation
(Z00-Z13)

Note:

Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.

Excl.:
examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)

Z00 General examination and investigation of persons without complaint and reported diagnosis

Excl.:
examination for administrative purposes (Z02.-)
special screening examinations (Z11-Z13)
Z00.0 General medical examination
Incl.:
Health check-up NOS
Periodic examination (annual)(physical)
Excl.:
general health check-up of:
  • defined subpopulations (Z10.-)
  • infant or child (Z00.1)
Z00.1 Routine child health examination
Incl.:
Development testing of infant or child
Excl.:
health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)
Z00.2 Examination for period of rapid growth in childhood
Z00.3 Examination for adolescent development state
Incl.:
Puberty development state
Z00.4 General psychiatric examination, not elsewhere classified
Excl.:
examination requested for medicolegal reasons (Z04.6)
Z00.5 Examination of potential donor of organ and tissue
Z00.6 Examination for normal comparison and control in clinical research programme
Z00.8 Other general examinations
Incl.:
Health examination in population surveys

Z01 Other special examinations and investigations of persons without complaint or reported diagnosis

Incl.:
routine examination of specific system
Excl.:
examination for:
  • administrative purposes (Z02.-)
  • suspected conditions, not proven (Z03.-)
special screening examinations (Z11-Z13)
Z01.0 Examination of eyes and vision
Excl.:
examination for driving licence (Z02.4)
Z01.1 Examination of ears and hearing
Z01.2 Dental examination
Z01.3 Examination of blood pressure
Z01.4 Gynaecological examination (general)(routine)
Incl.:
Papanicolaou smear of cervix
Pelvic examination (annual)(periodic)
Excl.:
pregnancy examination or test (Z32.-)
routine examination for contraceptive maintenance (Z30.4-Z30.5)
Z01.5 Diagnostic skin and sensitization tests
Incl.:
Allergy tests
Skin tests for:
  • bacterial disease
  • hypersensitivity
Z01.6 Radiological examination, not elsewhere classified
Incl.:
Routine:
  • chest X-ray
  • mammogram
Z01.7 Laboratory examination
Z01.8 Other specified special examinations
Z01.9 Special examination, unspecified

Z02 Examination and encounter for administrative purposes

Z02.0 Examination for admission to educational institution
Incl.:
Examination for admission to preschool (education)
Z02.1 Pre-employment examination
Excl.:
occupational health examination (Z10.0)
Z02.2 Examination for admission to residential institutions
Excl.:
examination for admission to prison (Z02.8)
general health check-up of inhabitants of institutions (Z10.1)
Z02.3 Examination for recruitment to armed forces
Excl.:
general health check-up of armed forces (Z10.2)
Z02.4 Examination for driving licence
Z02.5 Examination for participation in sport
Excl.:
blood-alcohol and blood-drug test (Z04.0)
general health check-up of sports teams (Z10.3)
Z02.6 Examination for insurance purposes
Z02.7 Issue of medical certificate
Incl.:
Issue of medical certificate of:
  • cause of death
  • fitness
  • incapacity
  • invalidity
Excl.:
encounter for general medical examination (Z00-Z01, Z02.0-Z02.6, Z02.8-Z02.9, Z10.-)
Z02.8 Other examinations for administrative purposes
Incl.:
Examination (for):
  • admission to:
    • prison
    • summer camp
  • adoption
  • immigration
  • naturalization
  • premarital
Excl.:
health supervision of foundling or other healthy infant or child (Z76.1-Z76.2)
Z02.9 Examination for administrative purposes, unspecified

Z03 Medical observation and evaluation for suspected diseases and conditions

Incl.:
persons who present some symptoms or evidence of an abnormal condition which requires study, but who, after examination and observation, show no need for further treatment or medical care
Excl.:
person with feared complaint in whom no diagnosis is made (Z71.1)
Z03.0 Observation for suspected tuberculosis
Z03.1 Observation for suspected malignant neoplasm
Z03.2 Observation for suspected mental and behavioural disorders
Incl.:
  • Observation for:
    • dissocial behaviour
    • fire-setting
    • gang activity
    • shop lifting
  • without manifest psychiatric disorder
Z03.3 Observation for suspected nervous system disorder
Z03.4 Observation for suspected myocardial infarction
Z03.5 Observation for other suspected cardiovascular diseases
Z03.6 Observation for suspected toxic effect from ingested substance
Incl.:
Observation for suspected:
  • adverse effect from drug
  • poisoning
Z03.8 Observation for other suspected diseases and conditions
Z03.9 Observation for suspected disease or condition, unspecified

Z04 Examination and observation for other reasons

Incl.:
examination for medicolegal reasons
Z04.0 Blood-alcohol and blood-drug test
Excl.:
presence of:
Z04.1 Examination and observation following transport accident
Excl.:
following work accident (Z04.2)
Z04.2 Examination and observation following work accident
Z04.3 Examination and observation following other accident
Z04.4 Examination and observation following alleged rape and seduction
Incl.:
Examination of victim or culprit following alleged rape or seduction
Z04.5 Examination and observation following other inflicted injury
Incl.:
Examination of victim or culprit following other inflicted injury
Z04.6 General psychiatric examination, requested by authority
Z04.8 Examination and observation for other specified reasons
Incl.:
Request for expert evidence
Z04.9 Examination and observation for unspecified reason
Incl.:
Observation NOS

Z08 Follow-up examination after treatment for malignant neoplasms

Incl.:
medical surveillance following treatment
Excl.:
follow-up medical care and convalescence (Z42-Z51, Z54.-)
Z08.0 Follow-up examination after surgery for malignant neoplasm
Z08.1 Follow-up examination after radiotherapy for malignant neoplasm
Excl.:
radiotherapy session (Z51.0)
Z08.2 Follow-up examination after chemotherapy for malignant neoplasm
Excl.:
chemotherapy session (Z51.1)
Z08.7 Follow-up examination after combined treatment for malignant neoplasm
Z08.8 Follow-up examination after other treatment for malignant neoplasm
Z08.9 Follow-up examination after unspecified treatment for malignant neoplasm

Z09 Follow-up examination after treatment for conditions other than malignant neoplasms

Incl.:
medical surveillance following treatment
Excl.:
follow-up medical care and convalescence (Z42-Z51, Z54.-)
medical surveillance following treatment for malignant neoplasms (Z08.-)
surveillance of:
Z09.0 Follow-up examination after surgery for other conditions
Z09.1 Follow-up examination after radiotherapy for other conditions
Excl.:
radiotherapy session (Z51.0)
Z09.2 Follow-up examination after chemotherapy for other conditions
Excl.:
maintenance chemotherapy (Z51.1-Z51.2)
Z09.3 Follow-up examination after psychotherapy
Z09.4 Follow-up examination after treatment of fracture
Z09.7 Follow-up examination after combined treatment for other conditions
Z09.8 Follow-up examination after other treatment for other conditions
Z09.9 Follow-up examination after unspecified treatment for other conditions

Z10 Routine general health check-up of defined subpopulation

Excl.:
medical examination for administrative purposes (Z02.-)
Z10.0 Occupational health examination
Excl.:
pre-employment examination (Z02.1)
Z10.1 Routine general health check-up of inhabitants of institutions
Excl.:
admission examination (Z02.2)
Z10.2 Routine general health check-up of armed forces
Excl.:
recruitment examination (Z02.3)
Z10.3 Routine general health check-up of sports teams
Excl.:
blood-alcohol and blood-drug test (Z04.0)
examination for participation in sport (Z02.5)
Z10.8 Routine general health check-up of other defined subpopulations
Incl.:
Schoolchildren
Students

Z11 Special screening examination for infectious and parasitic diseases

Z11.0 Special screening examination for intestinal infectious diseases
Z11.1 Special screening examination for respiratory tuberculosis
Z11.2 Special screening examination for other bacterial diseases
Z11.3 Special screening examination for infections with a predominantly sexual mode of transmission
Z11.4 Special screening examination for human immunodeficiency virus [HIV]
Z11.5 Special screening examination for other viral diseases
Excl.:
viral intestinal disease (Z11.0)
Z11.6 Special screening examination for other protozoal diseases and helminthiases
Excl.:
protozoal intestinal disease (Z11.0)
Z11.8 Special screening examination for other infectious and parasitic diseases
Incl.:
  • Chlamydial
  • Rickettsial
  • Spirochaetal
  • diseases
Mycoses
Z11.9 Special screening examination for infectious and parasitic diseases, unspecified

Z12 Special screening examination for neoplasms

Z12.0 Special screening examination for neoplasm of stomach
Z12.1 Special screening examination for neoplasm of intestinal tract
Z12.2 Special screening examination for neoplasm of respiratory organs
Z12.3 Special screening examination for neoplasm of breast
Excl.:
routine mammogram (Z01.6)
Z12.4 Special screening examination for neoplasm of cervix
Excl.:
when routine test or as part of general gynaecological examination (Z01.4)
Z12.5 Special screening examination for neoplasm of prostate
Z12.6 Special screening examination for neoplasm of bladder
Z12.8 Special screening examination for neoplasms of other sites
Z12.9 Special screening examination for neoplasm, unspecified

Z13 Special screening examination for other diseases and disorders

Z13.0 Special screening examination for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Z13.1 Special screening examination for diabetes mellitus
Z13.2 Special screening examination for nutritional disorders
Z13.3 Special screening examination for mental and behavioural disorders
Incl.:
Alcoholism
Depression
Mental retardation
Z13.4 Special screening examination for certain developmental disorders in childhood
Excl.:
routine development testing of infant or child (Z00.1)
Z13.5 Special screening examination for eye and ear disorders
Z13.6 Special screening examination for cardiovascular disorders
Z13.7 Special screening examination for congenital malformations, deformations and chromosomal abnormalities
Z13.8 Special screening examination for other specified diseases and disorders
Incl.:
Dental disorder
Endocrine and metabolic disorders
Excl.:
diabetes mellitus (Z13.1)
Z13.9 Special screening examination, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XXI
Factors influencing health status and contact with health services
(Z00-Z99)

Z20 Contact with and exposure to communicable diseases

Z20.0 Contact with and exposure to intestinal infectious diseases
Z20.1 Contact with and exposure to tuberculosis
Z20.2 Contact with and exposure to infections with a predominantly sexual mode of transmission
Z20.3 Contact with and exposure to rabies
Z20.4 Contact with and exposure to rubella
Z20.5 Contact with and exposure to viral hepatitis
Z20.6 Contact with and exposure to human immunodeficiency virus [HIV]
Excl.:
asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
Z20.7 Contact with and exposure to pediculosis, acariasis and other infestations
Z20.8 Contact with and exposure to other communicable diseases
Z20.9 Contact with and exposure to unspecified communicable disease

Z21 Asymptomatic human immunodeficiency virus [HIV] infection status

Incl.:
HIV positive NOS
Excl.:
contact with or exposure to human immunodeficiency virus [HIV] (Z20.6)
human immunodeficiency virus [HIV] disease (B20-B24)
lhuman immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium (O98.7)
laboratory evidence of human immunodeficiency virus [HIV] (R75)

Z22 Carrier of infectious disease

Incl.:
suspected carrier
Z22.0 Carrier of typhoid
Z22.1 Carrier of other intestinal infectious diseases
Z22.2 Carrier of diphtheria
Z22.3 Carrier of other specified bacterial diseases
Incl.:
Carrier of bacterial disease due to:
  • meningococci
  • staphylococci
  • streptococci
Z22.4 Carrier of infections with a predominantly sexual mode of transmission
Incl.:
Carrier of:
  • gonorrhoea
  • syphilis
Z22.6 Carrier of human T-lymphotropic virus type- 1 [HTLV-1] infection
Z22.8 Carrier of other infectious diseases
Z22.9 Carrier of infectious disease, unspecified

Z23 Need for immunization against single bacterial diseases

Excl.:
immunization:
  • against combinations of diseases (Z27.-)
  • not carried out (Z28.-)
Z23.0 Need for immunization against cholera alone
Z23.1 Need for immunization against typhoid-paratyphoid alone [TAB]
Z23.2 Need for immunization against tuberculosis [BCG]
Z23.3 Need for immunization against plague
Z23.4 Need for immunization against tularaemia
Z23.5 Need for immunization against tetanus alone
Z23.6 Need for immunization against diphtheria alone
Z23.7 Need for immunization against pertussis alone
Z23.8 Need for immunization against other single bacterial diseases

Z24 Need for immunization against certain single viral diseases

Excl.:
immunization:
  • against combinations of diseases (Z27.-)
  • not carried out (Z28.-)
Z24.0 Need for immunization against poliomyelitis
Z24.1 Need for immunization against arthropod-borne viral encephalitis
Z24.2 Need for immunization against rabies
Z24.3 Need for immunization against yellow fever
Z24.4 Need for immunization against measles alone
Z24.5 Need for immunization against rubella alone
Z24.6 Need for immunization against viral hepatitis

Z25 Need for immunization against other single viral diseases

Excl.:
immunization:
  • against combinations of diseases (Z27.-)
  • not carried out (Z28.-)
Z25.0 Need for immunization against mumps alone
Z25.1 Need for immunization against influenza
Z25.8 Need for immunization against other specified single viral diseases

Z26 Need for immunization against other single infectious diseases

Excl.:
immunization:
  • against combinations of diseases (Z27.-)
  • not carried out (Z28.-)
Z26.0 Need for immunization against leishmaniasis
Z26.8 Need for immunization against other specified single infectious diseases
Z26.9 Need for immunization against unspecified infectious disease
Incl.:
Need for immunization NOS

Z27 Need for immunization against combinations of infectious diseases

Excl.:
immunization not carried out (Z28.-)
Z27.0 Need for immunization against cholera with typhoid-paratyphoid [cholera + TAB]
Z27.1 Need for immunization against diphtheria-tetanus-pertussis, combined [DTP]
Z27.2 Need for immunization against diphtheria-tetanus-pertussis with typhoid-paratyphoid [DTP + TAB]
Z27.3 Need for immunization against diphtheria-tetanus-pertussis with poliomyelitis [DTP + polio]
Z27.4 Need for immunization against measles-mumps-rubella [MMR]
Z27.8 Need for immunization against other combinations of infectious diseases
Z27.9 Need for immunization against unspecified combinations of infectious diseases

Z28 Immunization not carried out

Z28.0 Immunization not carried out because of contraindication
Z28.1 Immunization not carried out because of patient's decision for reasons of belief or group pressure
Z28.2 Immunization not carried out because of patient's decision for other and unspecified reasons
Z28.8 Immunization not carried out for other reasons
Z28.9 Immunization not carried out for unspecified reason

Z29 Need for other prophylactic measures

Excl.:
desensitization to allergens (Z51.6)
prophylactic surgery (Z40.-)
Z29.0 Isolation
Incl.:
Admission to protect the individual from his or her surroundings or for isolation of individual after contact with infectious disease
Z29.1 Prophylactic immunotherapy
Incl.:
Administration of immunoglobulin
Z29.2 Other prophylactic chemotherapy
Incl.:
Chemoprophylaxis
Prophylactic antibiotic therapy
Z29.8 Other specified prophylactic measures
Z29.9 Prophylactic measure, unspecified

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XXI
Factors influencing health status and contact with health services
(Z00-Z99)

Z30 Contraceptive management

Z30.0 General counselling and advice on contraception
Incl.:
Family planning advice NOS
Initial prescription of contraceptives
Z30.1 Insertion of (intrauterine) contraceptive device
Z30.2 Sterilization
Incl.:
Admission for interruption of fallopian tubes or vasa deferentia
Z30.3 Menstrual extraction
Incl.:
Interception of pregnancy
Menstrual regulation
Z30.4 Surveillance of contraceptive drugs
Incl.:
Repeat prescription for contraceptive pill or other contraceptive drugs
Routine examination for contraceptive maintenance
Z30.5 Surveillance of (intrauterine) contraceptive device
Incl.:
Checking, reinsertion or removal of (intrauterine) contraceptive device
Z30.8 Other contraceptive management
Incl.:
Postvasectomy sperm count
Z30.9 Contraceptive management, unspecified

Z31 Procreative management

Excl.:
complications associated with artificial fertilization (N98.-)
Z31.0 Tuboplasty or vasoplasty after previous sterilization
Z31.1 Artificial insemination
Z31.2 In vitro fertilization
Incl.:
Admission for harvesting or implantation of ova
Z31.3 Other assisted fertilization methods
Z31.4 Procreative investigation and testing
Incl.:
Fallopian insufflation
Sperm count
Excl.:
postvasectomy sperm count (Z30.8)
Z31.5 Genetic counselling
Z31.6 General counselling and advice on procreation
Z31.8 Other procreative management
Z31.9 Procreative management, unspecified

Z32 Pregnancy examination and test

Z32.0 Pregnancy, not (yet) confirmed
Z32.1 Pregnancy confirmed

Z33 Pregnant state, incidental

Incl.:
Pregnant state NOS

Z34 Supervision of normal pregnancy

Z34.0 Supervision of normal first pregnancy
Z34.8 Supervision of other normal pregnancy
Z34.9 Supervision of normal pregnancy, unspecified

Z35 Supervision of high-risk pregnancy

Z35.0 Supervision of pregnancy with history of infertility
Z35.1 Supervision of pregnancy with history of abortive outcome
Incl.:
Supervision of pregnancy with history of:
  • hydatidiform mole
  • vesicular mole
Excl.:
habitual aborter:
  • care during pregnancy (O26.2)
  • without current pregnancy (N96)
Z35.2 Supervision of pregnancy with other poor reproductive or obstetric history
Incl.:
Supervision of pregnancy with history of:
  • conditions classifiable to O10-O92
  • neonatal death
  • stillbirth
Z35.3 Supervision of pregnancy with history of insufficient antenatal care
Incl.:
Pregnancy:
  • concealed
  • hidden
Z35.4 Supervision of pregnancy with grand multiparity
Excl.:
multiparity without current pregnancy (Z64.1)
Z35.5 Supervision of elderly primigravida
Z35.6 Supervision of very young primigravida
Z35.7 Supervision of high-risk pregnancy due to social problems
Z35.8 Supervision of other high-risk pregnancies
Z35.9 Supervision of high-risk pregnancy, unspecified

Z36 Antenatal screening

Excl.:
abnormal findings on antenatal screening of mother (O28.-)
routine prenatal care (Z34-Z35)
Z36.0 Antenatal screening for chromosomal anomalies
Incl.:
Amniocentesis
Placental sample (taken vaginally)
Z36.1 Antenatal screening for raised alphafetoprotein level
Z36.2 Other antenatal screening based on amniocentesis
Z36.3 Antenatal screening for malformations using ultrasound and other physical methods
Z36.4 Antenatal screening for fetal growth retardation using ultrasound and other physical methods
Z36.5 Antenatal screening for isoimmunization
Z36.8 Other antenatal screening
Incl.:
Screening for haemoglobinopathy
Z36.9 Antenatal screening, unspecified

Z37 Outcome of delivery

Note:

This category is intended for use as an additional code to identify the outcome of delivery on the mother's record.

Z37.0 Single live birth
Z37.1 Single stillbirth
Z37.2 Twins, both liveborn
Z37.3 Twins, one liveborn and one stillborn
Z37.4 Twins, both stillborn
Z37.5 Other multiple births, all liveborn
Z37.6 Other multiple births, some liveborn
Z37.7 Other multiple births, all stillborn
Z37.9 Outcome of delivery, unspecified
Incl.:
Multiple birth NOS
Single birth NOS

Z38 Liveborn infants according to place of birth

Z38.0 Singleton, born in hospital
Z38.1 Singleton, born outside hospital
Z38.2 Singleton, unspecified as to place of birth
Incl.:
Liveborn infant NOS
Z38.3 Twin, born in hospital
Z38.4 Twin, born outside hospital
Z38.5 Twin, unspecified as to place of birth
Z38.6 Other multiple, born in hospital
Z38.7 Other multiple, born outside hospital
Z38.8 Other multiple, unspecified as to place of birth

Z39 Postpartum care and examination

Z39.0 Care and examination immediately after delivery
Incl.:
Care and observation in uncomplicated cases
Excl.:
care for postpartum complications - see Alphabetical Index
Z39.1 Care and examination of lactating mother
Incl.:
Supervision of lactation
Excl.:
disorders of lactation (O92.-)
Z39.2 Routine postpartum follow-up

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XXI
Factors influencing health status and contact with health services
(Z00-Z99)

Persons encountering health services for specific procedures and health care
(Z40-Z54)

Note:

Categories Z40-Z54 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving follow-up or prophylactic care, convalescent care, or care to consolidate the treatment, to deal with residual states, to ensure that the condition has not recurred, or to prevent recurrence.

Excl.:
follow-up examination for medical surveillance after treatment (Z08-Z09)

Z40 Prophylactic surgery

Z40.0 Prophylactic surgery for risk-factors related to malignant neoplasms
Incl.:
Admission for prophylactic organ removal
Z40.8 Other prophylactic surgery
Z40.9 Prophylactic surgery, unspecified

Z41 Procedures for purposes other than remedying health state

Z41.0 Hair transplant
Z41.1 Other plastic surgery for unacceptable cosmetic appearance
Incl.:
Breast implant
Excl.:
plastic and reconstructive surgery following healed injury or operation (Z42.-)
Z41.2 Routine and ritual circumcision
Z41.3 Ear piercing
Z41.8 Other procedures for purposes other than remedying health state
Z41.9 Procedure for purposes other than remedying health state, unspecified

Z42 Follow-up care involving plastic surgery

Incl.:
plastic and reconstructive surgery following healed injury or operation
repair of scarred tissue
Excl.:
plastic surgery:
  • as treatment for current injury - code to relevant injury - see Alphabetical Index
  • for unacceptable cosmetic appearance (Z41.1)
Z42.0 Follow-up care involving plastic surgery of head and neck
Z42.1 Follow-up care involving plastic surgery of breast
Z42.2 Follow-up care involving plastic surgery of other parts of trunk
Z42.3 Follow-up care involving plastic surgery of upper extremity
Z42.4 Follow-up care involving plastic surgery of lower extremity
Z42.8 Follow-up care involving plastic surgery of other body part
Z42.9 Follow-up care involving plastic surgery, unspecified

Z43 Attention to artificial openings

Incl.:
closure
passage of sounds or bougies
reforming
removal of catheter
toilet or cleansing
Excl.:
artificial opening status only, without need for care (Z93.-)
complications of external stoma (J95.0, K91.4, N99.5)
fitting and adjustment of prosthetic and other devices (Z44-Z46)
Z43.0 Attention to tracheostomy
Z43.1 Attention to gastrostomy
Z43.2 Attention to ileostomy
Z43.3 Attention to colostomy
Z43.4 Attention to other artificial openings of digestive tract
Z43.5 Attention to cystostomy
Z43.6 Attention to other artificial openings of urinary tract
Incl.:
Nephrostomy
Ureterostomy
Urethrostomy
Z43.7 Attention to artificial vagina
Z43.8 Attention to other artificial openings
Z43.9 Attention to unspecified artificial opening

Z44 Fitting and adjustment of external prosthetic device

Excl.:
presence of prosthetic device (Z97.-)
Z44.0 Fitting and adjustment of artificial arm (complete)(partial)
Z44.1 Fitting and adjustment of artificial leg (complete)(partial)
Z44.2 Fitting and adjustment of artificial eye
Excl.:
mechanical complication of ocular prosthesis (T85.3)
Z44.3 Fitting and adjustment of external breast prosthesis
Z44.8 Fitting and adjustment of other external prosthetic devices
Z44.9 Fitting and adjustment of unspecified external prosthetic device

Z45 Adjustment and management of implanted device

Excl.:
malfunction or other complications of device - see Alphabetical Index
presence of prosthetic and other devices (Z95-Z97)
Z45.0 Adjustment and management of cardiac devices
Incl.:
Checking and testing of cardiac devices
Z45.1 Adjustment and management of infusion pump
Z45.2 Adjustment and management of vascular access device
Z45.3 Adjustment and management of implanted hearing device
Incl.:
Bone conduction device
Cochlear device
Z45.8 Adjustment and management of other implanted devices
Z45.9 Adjustment and management of unspecified implanted device

Z46 Fitting and adjustment of other devices

Excl.:
issue of repeat prescription only (Z76.0)
malfunction or other complications of device - see Alphabetical Index
presence of prosthetic and other devices (Z95-Z97)
Z46.0 Fitting and adjustment of spectacles and contact lenses
Z46.1 Fitting and adjustment of hearing aid
Z46.2 Fitting and adjustment of other devices related to nervous system and special senses
Z46.3 Fitting and adjustment of dental prosthetic device
Z46.4 Fitting and adjustment of orthodontic device
Z46.5 Fitting and adjustment of ileostomy and other intestinal appliances
Z46.6 Fitting and adjustment of urinary device
Z46.7 Fitting and adjustment of orthopaedic device
Incl.:
Orthopaedic:
  • brace
  • cast
  • corset
  • shoes
Z46.8 Fitting and adjustment of other specified devices
Incl.:
Wheelchair
Z46.9 Fitting and adjustment of unspecified device

Z47 Other orthopaedic follow-up care

Excl.:
care involving rehabilitation procedures (Z50.-)
complication of internal orthopaedic devices, implants and grafts (T84.-)
follow-up examination after treatment of fracture (Z09.4)
Z47.0 Follow-up care involving removal of fracture plate and other internal fixation device
Incl.:
Removal of:
  • pins
  • plates
  • rods
  • screws
Excl.:
removal of external fixation device (Z47.8)
Z47.8 Other specified orthopaedic follow-up care
Incl.:
Change, checking or removal of:
  • external fixation or traction device
  • plaster cast
Z47.9 Orthopaedic follow-up care, unspecified

Z48 Other surgical follow-up care

Excl.:
attention to artificial openings (Z43.-)
fitting and adjustment of prosthetic and other devices (Z44-Z46)
follow-up examination after:
orthopaedic follow-up care (Z47.-)
Z48.0 Attention to surgical dressings and sutures
Incl.:
Change of dressings
Removal of sutures
Z48.8 Other specified surgical follow-up care
Z48.9 Surgical follow-up care, unspecified

Z49 Care involving dialysis

Incl.:
dialysis preparation and treatment
Excl.:
renal dialysis status (Z99.2)
Z49.0 Preparatory care for dialysis
Z49.1 Extracorporeal dialysis
Incl.:
Dialysis (renal) NOS
Z49.2 Other dialysis
Incl.:
Peritoneal dialysis

Z50 Care involving use of rehabilitation procedures

Excl.:
counselling (Z70-Z71)
Z50.0 Cardiac rehabilitation
Z50.1 Other physical therapy
Incl.:
Therapeutic and remedial exercises
Z50.2 Alcohol rehabilitation
Z50.3 Drug rehabilitation
Z50.4 Psychotherapy, not elsewhere classified
Z50.5 Speech therapy
Z50.6 Orthoptic training
Z50.7 Occupational therapy and vocational rehabilitation, not elsewhere classified
Z50.8 Care involving use of other rehabilitation procedures
Incl.:
Tobacco rehabilitation
Training in activities of daily living [ADL] NEC
Z50.9 Care involving use of rehabilitation procedure, unspecified
Incl.:
Rehabilitation NOS

Z51 Other medical care

Excl.:
follow-up examination after treatment (Z08-Z09)
Z51.0 Radiotherapy session
Z51.1 Chemotherapy session for neoplasm
Z51.2 Other chemotherapy
Incl.:
Maintenance chemotherapy NOS
Excl.:
prophylactic chemotherapy for immunization purposes (Z23-Z27, Z29.-)
Z51.3 Blood transfusion (without reported diagnosis)
Z51.4 Preparatory care for subsequent treatment, not elsewhere classified
Excl.:
preparatory care for dialysis (Z49.0)
Z51.5 Palliative care
Z51.6 Desensitization to allergens
Z51.8 Other specified medical care
Excl.:
holiday relief care (Z75.5)
Z51.9 Medical care, unspecified

Z52 Donors of organs and tissues

Excl.:
examination of potential donor (Z00.5)
Z52.0 Blood donor
Incl.:
Blood components such as lymphocytes, platelets or stem cells
Z52.1 Skin donor
Z52.2 Bone donor
Z52.3 Bone marrow donor
Z52.4 Kidney donor
Z52.5 Cornea donor
Z52.6 Liver donor
Z52.7 Heart donor
Z52.8 Donor of other organs and tissues
Z52.9 Donor of unspecified organ or tissue
Incl.:
Donor NOS

Z53 Persons encountering health services for specific procedures, not carried out

Excl.:
immunization not carried out (Z28.-)
Z53.0 Procedure not carried out because of contraindication
Z53.1 Procedure not carried out because of patient's decision for reasons of belief and group pressure
Z53.2 Procedure not carried out because of patient's decision for other and unspecified reasons
Z53.8 Procedure not carried out for other reasons
Z53.9 Procedure not carried out, unspecified reason

Z54 Convalescence

Z54.0 Convalescence following surgery
Z54.1 Convalescence following radiotherapy
Z54.2 Convalescence following chemotherapy
Z54.3 Convalescence following psychotherapy
Z54.4 Convalescence following treatment of fracture
Z54.7 Convalescence following combined treatment
Incl.:
Convalescence following any combination of treatments classified to Z54.0-Z54.4
Z54.8 Convalescence following other treatment
Z54.9 Convalescence following unspecified treatment

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XXI
Factors influencing health status and contact with health services
(Z00-Z99)

Z55 Problems related to education and literacy

Excl.:
disorders of psychological development (F80-F89)
Z55.0 Illiteracy and low-level literacy
Z55.1 Schooling unavailable and unattainable
Z55.2 Failed examinations
Z55.3 Underachievement in school
Z55.4 Educational maladjustment and discord with teachers and classmates
Z55.8 Other problems related to education and literacy
Incl.:
Inadequate teaching
Z55.9 Problem related to education and literacy, unspecified

Z56 Problems related to employment and unemployment

Excl.:
occupational exposure to risk-factors (Z57.-)
problems related to housing and economic circumstances (Z59.-)
Z56.0 Unemployment, unspecified
Z56.1 Change of job
Z56.2 Threat of job loss
Z56.3 Stressful work schedule
Z56.4 Discord with boss and workmates
Z56.5 Uncongenial work
Incl.:
Difficult conditions at work
Z56.6 Other physical and mental strain related to work
Z56.7 Other and unspecified problems related to employment

Z57 Occupational exposure to risk-factors

Z57.0 Occupational exposure to noise
Z57.1 Occupational exposure to radiation
Z57.2 Occupational exposure to dust
Z57.3 Occupational exposure to other air contaminants
Z57.4 Occupational exposure to toxic agents in agriculture
Incl.:
Solids, liquids, gases or vapours
Z57.5 Occupational exposure to toxic agents in other industries
Incl.:
Solids, liquids, gases or vapours
Z57.6 Occupational exposure to extreme temperature
Z57.7 Occupational exposure to vibration
Z57.8 Occupational exposure to other risk-factors
Z57.9 Occupational exposure to unspecified risk-factor

Z58 Problems related to physical environment

Excl.:
occupational exposure (Z57.-)
Z58.0 Exposure to noise
Z58.1 Exposure to air pollution
Excl.:
tobacco smoke (Z58.7)
Z58.2 Exposure to water pollution
Z58.3 Exposure to soil pollution
Z58.4 Exposure to radiation
Z58.5 Exposure to other pollution
Z58.6 Inadequate drinking-water supply
Excl.:
effects of thirst (T73.1)
Z58.7 Exposure to tobacco smoke
Incl.:
Passive smoking
Excl.:
mental and behavioural disorders due to the use of tobacco (F17.-)
personal history of psychoactive substance abuse (Z86.4)
tobacco use (Z72.0)
Z58.8 Other problems related to physical environment
Z58.9 Problem related to physical environment, unspecified

Z59 Problems related to housing and economic circumstances

Excl.:
inadequate drinking-water supply (Z58.6)
Z59.0 Homelessness
Z59.1 Inadequate housing
Incl.:
Lack of heating
Restriction of space
Technical defects in home preventing adequate care
Unsatisfactory surroundings
Excl.:
problems related to physical environment (Z58.-)
Z59.2 Discord with neighbours, lodgers and landlord
Z59.3 Problems related to living in residential institution
Incl.:
Boarding-school resident
Excl.:
institutional upbringing (Z62.2)
Z59.4 Lack of adequate food
Excl.:
effects of hunger (T73.0)
inappropriate diet or eating habits (Z72.4)
malnutrition (E40-E46)
Z59.5 Extreme poverty
Z59.6 Low income
Z59.7 Insufficient social insurance and welfare support
Z59.8 Other problems related to housing and economic circumstances
Incl.:
Foreclosure on loan
Isolated dwelling
Problems with creditors
Z59.9 Problem related to housing and economic circumstances, unspecified

Z60 Problems related to social environment

Z60.0 Problems of adjustment to life-cycle transitions
Incl.:
Adjustment to retirement [pension]
Empty nest syndrome
Z60.1 Atypical parenting situation
Definition

Problems related to a parenting situation (rearing of children) with a single parent or other than that of two cohabiting biological parents.

Z60.2 Living alone
Z60.3 Acculturation difficulty
Incl.:
Migration
Social transplantation
Z60.4 Social exclusion and rejection
Definition

Exclusion and rejection on the basis of personal characteristics, such as unusual physical appearance, illness or behaviour.

Excl.:
target of adverse discrimination such as for racial or religious reasons (Z60.5)
Z60.5 Target of perceived adverse discrimination and persecution
Definition

Persecution or discrimination, perceived or real, on the basis of membership of some group (as defined by skin colour, religion, ethnic origin, etc.) rather than personal characteristics.

Excl.:
social exclusion and rejection (Z60.4)
Z60.8 Other problems related to social environment
Z60.9 Problem related to social environment, unspecified

Z61 Problems related to negative life events in childhood

Excl.:
maltreatment syndromes (T74.-)
Z61.0 Loss of love relationship in childhood
Definition

Loss of an emotionally close relationship, such as of a parent, a sibling, a very special friend or a loved pet, by death or permanent departure or rejection.

Z61.1 Removal from home in childhood
Definition

Admission to a foster home, hospital or other institution causing psychosocial stress, or forced conscription into an activity away from home for a prolonged period.

Z61.2 Altered pattern of family relationships in childhood
Definition

Arrival of a new person into a family resulting in adverse change in child's relationships. May include new marriage by a parent or birth of a sibling.

Z61.3 Events resulting in loss of self-esteem in childhood
Definition

Events resulting in a negative self-reappraisal by the child such as failure in tasks with high personal investment; disclosure or discovery of a shameful or stigmatizing personal or family event; and other humiliating experiences.

Z61.4 Problems related to alleged sexual abuse of child by person within primary support group
Definition

Problems related to any form of physical contact or exposure between an adult member of the child's household and the child that has led to sexual arousal, whether or not the child has willingly engaged in the sexual acts (e.g. any genital contact or manipulation or deliberate exposure of breasts or genitals).

Z61.5 Problems related to alleged sexual abuse of child by person outside primary support group
Definition

Problems related to contact or attempted contact with the child's or the other person's breasts or genitals, sexual exposure in close confrontation or attempt to undress or seduce the child, by a substantially older person outside the child's family, either on the basis of this person's position or status or against the will of the child.

Z61.6 Problems related to alleged physical abuse of child
Definition

Problems related to incidents in which the child has been injured in the past by any adult in the household to a medically significant extent (e.g. fractures, marked bruising) or that involved abnormal forms of violence (e.g. hitting the child with hard or sharp implements, burning or tying up of the child).

Z61.7 Personal frightening experience in childhood
Definition

Experience carrying a threat for the child's future, such as a kidnapping, natural disaster with a threat to life, injury with a threat to self-image or security, or witnessing a severe trauma to a loved one.

Z61.8 Other negative life events in childhood
Z61.9 Negative life event in childhood, unspecified

Z62 Other problems related to upbringing

Excl.:
maltreatment syndromes (T74.-)
Z62.0 Inadequate parental supervision and control
Definition

Lack of parental knowledge of what the child is doing or where the child is; poor control; lack of concern or lack of attempted intervention when the child is in risky situations.

Z62.1 Parental overprotection
Definition

Pattern of upbringing resulting in infantilization and prevention of independent behaviour.

Z62.2 Institutional upbringing
Definition

Group foster care in which parenting responsibilities are largely taken over by some form of institution (such as residential nursery, orphanage, or children's home), or therapeutic care over a prolonged period in which the child is in a hospital, convalescent home or the like, without at least one parent living with the child.

Z62.3 Hostility towards and scapegoating of child
Definition

Negative parental behaviour specifically focused on the child as an individual, persistent over time and pervasive over several child behaviours (e.g. automatically blaming the child for any problems in the household or attributing negative characteristics to the child).

Z62.4 Emotional neglect of child
Definition

Parent talking to the child in a dismissive or insensitive way. Lack of interest in the child, of sympathy for the child's difficulties and of praise and encouragement. Irritated reaction to anxious behaviour and absence of sufficient physical comforting and emotional warmth.

Z62.5 Other problems related to neglect in upbringing
Incl.:
Lack of learning and play experience
Z62.6 Inappropriate parental pressure and other abnormal qualities of upbringing
Definition

Parents forcing the child to be different from the local norm, either sex-inappropriate (e.g. dressing a boy in girl's clothes), age-inappropriate (e.g. forcing a child to take on responsibilities above her or his own age) or otherwise inappropriate (e.g. pressing the child to engage in unwanted or too difficult activities).

Z62.8 Other specified problems related to upbringing
Z62.9 Problem related to upbringing, unspecified

Z63 Other problems related to primary support group, including family circumstances

Excl.:
maltreatment syndromes (T74.-)
problems related to:
  • negative life events in childhood (Z61.-)
  • upbringing (Z62.-)
Z63.0 Problems in relationship with spouse or partner
Definition

Discord between partners resulting in severe or prolonged loss of control, in generalization of hostile or critical feelings or in a persisting atmosphere of severe interpersonal violence (hitting or striking).

Z63.1 Problems in relationship with parents and in-laws
Z63.2 Inadequate family support
Z63.3 Absence of family member
Z63.4 Disappearance and death of family member
Incl.:
Assumed death of family member
Z63.5 Disruption of family by separation and divorce
Incl.:
Estrangement
Z63.6 Dependent relative needing care at home
Z63.7 Other stressful life events affecting family and household
Incl.:
Anxiety (normal) about sick person in family
Health problems within family
Ill or disturbed family member
Isolated family
Z63.8 Other specified problems related to primary support group
Incl.:
Family discord NOS
High expressed emotional level within family
Inadequate or distorted communication within family
Z63.9 Problem related to primary support group, unspecified

Z64 Problems related to certain psychosocial circumstances

Z64.0 Problems related to unwanted pregnancy
Excl.:
supervision of high-risk pregnancy due to social problems (Z35.7)
Z64.1 Problems related to multiparity
Excl.:
supervision of pregnancy with grand multiparity (Z35.4)
Z64.2 Seeking and accepting physical, nutritional and chemical interventions known to be hazardous and harmful
Excl.:
substance dependence - see Alphabetical Index
Z64.3 Seeking and accepting behavioural and psychological interventions known to be hazardous and harmful
Z64.4 Discord with counsellors
Incl.:
Discord with:
  • probation officer
  • social worker

Z65 Problems related to other psychosocial circumstances

Excl.:
current injury - see Alphabetical Index
Z65.0 Conviction in civil and criminal proceedings without imprisonment
Z65.1 Imprisonment and other incarceration
Z65.2 Problems related to release from prison
Z65.3 Problems related to other legal circumstances
Incl.:
Arrest
Child custody or support proceedings
Litigation
Prosecution
Z65.4 Victim of crime and terrorism
Incl.:
Victim of torture
Z65.5 Exposure to disaster, war and other hostilities
Excl.:
target of perceived discrimination or persecution (Z60.5)
Z65.8 Other specified problems related to psychosocial circumstances
Z65.9 Problem related to unspecified psychosocial circumstances

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XXI
Factors influencing health status and contact with health services
(Z00-Z99)

Z70 Counselling related to sexual attitude, behaviour and orientation

Excl.:
contraceptive or procreative counselling (Z30-Z31)
Z70.0 Counselling related to sexual attitude
Incl.:
Person concerned regarding embarrassment, timidity or other negative response to sexual matters
Z70.1 Counselling related to patient's sexual behaviour and orientation
Incl.:
Patient concerned regarding:
  • impotence
  • non-responsiveness
  • promiscuity
  • sexual orientation
Z70.2 Counselling related to sexual behaviour and orientation of third party
Incl.:
Advice sought regarding sexual behaviour and orientation of:
  • child
  • partner
  • spouse
Z70.3 Counselling related to combined concerns regarding sexual attitude, behaviour and orientation
Z70.8 Other sex counselling
Incl.:
Sex education
Z70.9 Sex counselling, unspecified

Z71 Persons encountering health services for other counselling and medical advice, not elsewhere classified

Excl.:
contraceptive or procreation counselling (Z30-Z31)
sex counselling (Z70.-)
Z71.0 Person consulting on behalf of another person
Incl.:
Advice or treatment for non-attending third party
Excl.:
anxiety (normal) about sick person in family (Z63.7)
Z71.1 Person with feared complaint in whom no diagnosis is made
Incl.:
Feared condition not demonstrated
Problem was normal state
"Worried well"
Excl.:
medical observation and evaluation for suspected diseases and conditions (Z03.-)
Z71.2 Person consulting for explanation of investigation findings
Z71.3 Dietary counselling and surveillance
Incl.:
Dietary counselling and surveillance (for):
  • NOS
  • colitis
  • diabetes mellitus
  • food allergies or intolerance
  • gastritis
  • hypercholesterolaemia
  • obesity
Z71.4 Alcohol abuse counselling and surveillance
Excl.:
alcohol rehabilitation procedures (Z50.2)
Z71.5 Drug abuse counselling and surveillance
Excl.:
drug rehabilitation procedures (Z50.3)
Z71.6 Tobacco abuse counselling
Excl.:
tobacco rehabilitation procedures (Z50.8)
Z71.7 Human immunodeficiency virus [HIV] counselling
Z71.8 Other specified counselling
Incl.:
Consanguinity counselling
Z71.9 Counselling, unspecified
Incl.:
Medical advice NOS

Z72 Problems related to lifestyle

Excl.:
problems related to:
  • life-management difficulty (Z73.-)
  • socioeconomic and psychosocial circumstances (Z55-Z65)
Z72.0 Tobacco use
Excl.:
tobacco dependence (F17.2)
Z72.1 Alcohol use
Excl.:
alcohol dependence (F10.2)
Z72.2 Drug use
Excl.:
abuse of non-dependence-producing substances (F55)
drug dependence (F11-F16, F19 with common fourth character .2)
Z72.3 Lack of physical exercise
Z72.4 Inappropriate diet and eating habits
Excl.:
behavioural eating disorders of infancy or childhood (F98.2-F98.3)
eating disorders (F50.-)
lack of adequate food (Z59.4)
malnutrition and other nutritional deficiencies (E40-E64)
Z72.5 High-risk sexual behaviour
Z72.6 Gambling and betting
Excl.:
compulsive or pathological gambling (F63.0)
Z72.8 Other problems related to lifestyle
Incl.:
Self-damaging behaviour
Z72.9 Problem related to lifestyle, unspecified

Z73 Problems related to life-management difficulty

Excl.:
problems related to socioeconomic and psychosocial circumstances (Z55-Z65)
Z73.0 Burn-out
Incl.:
State of vital exhaustion
Z73.1 Accentuation of personality traits
Incl.:
Type A behaviour pattern (characterized by unbridled ambition, a need for high achievement, impatience, competitiveness, and a sense of urgency)
Z73.2 Lack of relaxation and leisure
Z73.3 Stress, not elsewhere classified
Incl.:
Physical and mental strain NOS
Excl.:
related to employment or unemployment (Z56.-)
Z73.4 Inadequate social skills, not elsewhere classified
Z73.5 Social role conflict, not elsewhere classified
Z73.6 Limitation of activities due to disability
Excl.:
care-provider dependency (Z74.-)
Z73.8 Other problems related to life-management difficulty
Z73.9 Problem related to life-management difficulty, unspecified

Z74 Problems related to care-provider dependency

Excl.:
dependence on enabling machines or devices NEC (Z99.-)
Z74.0 Need for assistance due to reduced mobility
Z74.1 Need for assistance with personal care
Z74.2 Need for assistance at home and no other household member able to render care
Z74.3 Need for continuous supervision
Z74.8 Other problems related to care-provider dependency
Z74.9 Problem related to care-provider dependency, unspecified

Z75 Problems related to medical facilities and other health care

Z75.0 Medical services not available in home
Excl.:
no other household member able to render care (Z74.2)
Z75.1 Person awaiting admission to adequate facility elsewhere
Z75.2 Other waiting period for investigation and treatment
Z75.3 Unavailability and inaccessibility of health-care facilities
Excl.:
bed unavailable (Z75.1)
Z75.4 Unavailability and inaccessibility of other helping agencies
Z75.5 Holiday relief care
Definition

Provision of health-care facilities to a person normally cared for at home, in order to enable relatives to take a vacation.

Incl.:
Respite care
Z75.8 Other problems related to medical facilities and other health care
Z75.9 Unspecified problem related to medical facilities and other health care

Z76 Persons encountering health services in other circumstances

Z76.0 Issue of repeat prescription
Incl.:
Issue of repeat prescription for:
  • appliance
  • medicaments
  • spectacles
Excl.:
issue of medical certificate (Z02.7)
repeat prescription for contraceptive (Z30.4)
Z76.1 Health supervision and care of foundling
Z76.2 Health supervision and care of other healthy infant and child
Incl.:
Medical or nursing care or supervision of healthy infant under circumstances such as:
  • adverse socioeconomic conditions at home
  • awaiting foster or adoptive placement
  • maternal illness
  • number of children at home preventing or interfering with normal care
Z76.3 Healthy person accompanying sick person
Z76.4 Other boarder in health-care facility
Excl.:
homelessness (Z59.0)
Z76.5 Malingerer [conscious simulation]
Incl.:
Person feigning illness (with obvious motivation)
Excl.:
factitious disorder (F68.1)
peregrinating patient (F68.1)
Z76.8 Persons encountering health services in other specified circumstances
Z76.9 Person encountering health services in unspecified circumstances

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)-WHO Version for ;2016

Chapter XXI
Factors influencing health status and contact with health services
(Z00-Z99)

Persons with potential health hazards related to family and personal history and certain conditions influencing health status
(Z80-Z99)

Excl.:
follow-up examination (Z08-Z09)
follow-up medical care and convalescence (Z42-Z51, Z54.-)
when family or personal history is the reason for special screening or other examination or investigation (Z00-Z13)
when the possibility that the fetus might be affected is the reason for observation or action during pregnancy (O35.-)

Z80 Family history of malignant neoplasm

Z80.0 Family history of malignant neoplasm of digestive organs
Incl.:
Conditions classifiable to C15-C26
Z80.1 Family history of malignant neoplasm of trachea, bronchus and lung
Incl.:
Conditions classifiable to C33-C34
Z80.2 Family history of malignant neoplasm of other respiratory and intrathoracic organs
Incl.:
Conditions classifiable to C30-C32, C37-C39
Z80.3 Family history of malignant neoplasm of breast
Incl.:
Conditions classifiable to C50.-
Z80.4 Family history of malignant neoplasm of genital organs
Incl.:
Conditions classifiable to C51-C63
Z80.5 Family history of malignant neoplasm of urinary tract
Incl.:
Conditions classifiable to C64-C68
Z80.6 Family history of leukaemia
Incl.:
Conditions classifiable to C91-C95
Z80.7 Family history of other malignant neoplasms of lymphoid, haematopoietic and related tissues
Incl.:
Conditions classifiable to C81-C90, C96.-
Z80.8 Family history of malignant neoplasm of other organs or systems
Incl.:
Conditions classifiable to C00-C14, C40-C49, C69-C79, C97
Z80.9 Family history of malignant neoplasm, unspecified
Incl.:
Conditions classifiable to C80.-

Z81 Family history of mental and behavioural disorders

Z81.0 Family history of mental retardation
Incl.:
Conditions classifiable to F70-F79
Z81.1 Family history of alcohol abuse
Incl.:
Conditions classifiable to F10.-
Z81.2 Family history of tobacco abuse
Incl.:
Conditions classifiable to F17.-
Z81.3 Family history of other psychoactive substance abuse
Incl.:
Conditions classifiable to F11-F16, F18-F19
Z81.4 Family history of other substance abuse
Incl.:
Conditions classifiable to F55
Z81.8 Family history of other mental and behavioural disorders
Incl.:
Conditions classifiable elsewhere in F00-F99

Z82 Family history of certain disabilities and chronic diseases leading to disablement

Z82.0 Family history of epilepsy and other diseases of the nervous system
Incl.:
Conditions classifiable to G00-G99
Z82.1 Family history of blindness and visual loss
Incl.:
Conditions classifiable to H54.-
Z82.2 Family history of deafness and hearing loss
Incl.:
Conditions classifiable to H90-H91
Z82.3 Family history of stroke
Incl.:
Conditions classifiable to I60-I64
Z82.4 Family history of ischaemic heart disease and other diseases of the circulatory system
Incl.:
Conditions classifiable to I00-I52, I65-I99
Z82.5 Family history of asthma and other chronic lower respiratory diseases
Incl.:
Conditions classifiable to J40-J47
Z82.6 Family history of arthritis and other diseases of the musculoskeletal system and connective tissue
Incl.:
Conditions classifiable to M00-M99
Z82.7 Family history of congenital malformations, deformations and chromosomal abnormalities
Incl.:
Conditions classifiable to Q00-Q99
Z82.8 Family history of other disabilities and chronic diseases leading to disablement, not elsewhere classified

Z83 Family history of other specific disorders

Excl.:
contact with or exposure to communicable disease in the family (Z20.-)
Z83.0 Family history of human immunodeficiency virus [HIV] disease
Incl.:
Conditions classifiable to B20-B24, O98.7
Z83.1 Family history of other infectious and parasitic diseases
Incl.:
Conditions classifiable to A00-B19, B25-B94, B99
Z83.2 Family history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Incl.:
Conditions classifiable to D50-D89
Z83.3 Family history of diabetes mellitus
Incl.:
Conditions classifiable to E10-E14, O24
Z83.4 Family history of other endocrine, nutritional and metabolic diseases
Incl.:
Conditions classifiable to E00-E07, E15-E90
Z83.5 Family history of eye and ear disorders
Incl.:
Conditions classifiable to H00-H53, H55-H83, H92-H95
Excl.:
family history of:
  • blindness and visual loss (Z82.1)
  • deafness and hearing loss (Z82.2)
Z83.6 Family history of diseases of the respiratory system
Incl.:
Conditions classifiable to J00-J39, J60-J99
Excl.:
family history of chronic lower respiratory diseases (Z82.5)
Z83.7 Family history of diseases of the digestive system
Incl.:
Conditions classifiable to K00-K93

Z84 Family history of other conditions

Z84.0 Family history of diseases of the skin and subcutaneous tissue
Incl.:
Conditions classifiable to L00-L99
Z84.1 Family history of disorders of kidney and ureter
Incl.:
Conditions classifiable to N00-N29
Z84.2 Family history of other diseases of the genitourinary system
Incl.:
Conditions classifiable to N30-N99
Z84.3 Family history of consanguinity
Z84.8 Family history of other specified conditions

Z85 Personal history of malignant neoplasm

Excl.:
follow-up medical care and convalescence (Z42-Z51, Z54.-)
follow-up examination after treatment of malignant neoplasm (Z08.-)
Z85.0 Personal history of malignant neoplasm of digestive organs
Incl.:
Conditions classifiable to C15-C26
Z85.1 Personal history of malignant neoplasm of trachea, bronchus and lung
Incl.:
Conditions classifiable to C33-C34
Z85.2 Personal history of malignant neoplasm of other respiratory and intrathoracic organs
Incl.:
Conditions classifiable to C30-C32, C37-C39
Z85.3 Personal history of malignant neoplasm of breast
Incl.:
Conditions classifiable to C50.-
Z85.4 Personal history of malignant neoplasm of genital organs
Incl.:
Conditions classifiable to C51-C63
Z85.5 Personal history of malignant neoplasm of urinary tract
Incl.:
Conditions classifiable to C64-C68
Z85.6 Personal history of leukaemia
Incl.:
Conditions classifiable to C91-C95
Z85.7 Personal history of other malignant neoplasms of lymphoid, haematopoietic and related tissues
Incl.:
Conditions classifiable to C81-C90, C96.-
Z85.8 Personal history of malignant neoplasms of other organs and systems
Incl.:
Conditions classifiable to C00-C14, C40-C49, C69-C79, C97
Z85.9 Personal history of malignant neoplasm, unspecified
Incl.:
Conditions classifiable to C80.-

Z86 Personal history of certain other diseases

Excl.:
follow-up medical care and convalescence (Z42-Z51, Z54.-)
Z86.0 Personal history of other neoplasms
Incl.:
Conditions classifiable to D00-D48
Excl.:
malignant neoplasms (Z85.-)
Z86.1 Personal history of infectious and parasitic diseases
Incl.:
Conditions classifiable to A00-B89, B99
Excl.:
sequelae of infectious and parasitic diseases (B90-B94)
Z86.2 Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Incl.:
Conditions classifiable to D50-D89
Z86.3 Personal history of endocrine, nutritional and metabolic diseases
Incl.:
Conditions classifiable to E00-E90
Z86.4 Personal history of psychoactive substance abuse
Incl.:
Conditions classifiable to F10-F19
Excl.:
current dependence (F10-F19 with common fourth character .2)
problems related to use of:
Z86.5 Personal history of other mental and behavioural disorders
Incl.:
Conditions classifiable to F00-F09, F20-F99
Z86.6 Personal history of diseases of the nervous system and sense organs
Incl.:
Conditions classifiable to G00-G99, H00-H95
Z86.7 Personal history of diseases of the circulatory system
Incl.:
Conditions classifiable to I00-I99
Excl.:
old myocardial infarction (I25.2)
postmyocardial infarction syndrome (I24.1)
sequelae of cerebrovascular disease (I69.-)

Z87 Personal history of other diseases and conditions

Excl.:
follow-up medical care and convalescence (Z42-Z51, Z54.-)
Z87.0 Personal history of diseases of the respiratory system
Incl.:
Conditions classifiable to J00-J99
Z87.1 Personal history of diseases of the digestive system
Incl.:
Conditions classifiable to K00-K93
Z87.2 Personal history of diseases of the skin and subcutaneous tissue
Incl.:
Conditions classifiable to L00-L99
Z87.3 Personal history of diseases of the musculoskeletal system and connective tissue
Incl.:
Conditions classifiable to M00-M99
Z87.4 Personal history of diseases of the genitourinary system
Incl.:
Conditions classifiable to N00-N99
Z87.5 Personal history of complications of pregnancy, childbirth and the puerperium
Incl.:
Conditions classifiable to O00-O99
Personal history of trophoblastic disease
Excl.:
habitual aborter (N96)
supervision during current pregnancy of a woman with poor obstetric history (Z35.-)
Z87.6 Personal history of certain conditions arising in the perinatal period
Incl.:
Conditions classifiable to P00-P96
Z87.7 Personal history of congenital malformations, deformations and chromosomal abnormalities
Incl.:
Conditions classifiable to Q00-Q99
Z87.8 Personal history of other specified conditions
Incl.:
Conditions classifiable to S00-T98
Excl.:
personal history of self harm (Z91.5)

Z88 Personal history of allergy to drugs, medicaments and biological substances

Z88.0 Personal history of allergy to penicillin
Z88.1 Personal history of allergy to other antibiotic agents
Z88.2 Personal history of allergy to sulfonamides
Z88.3 Personal history of allergy to other anti-infective agents
Z88.4 Personal history of allergy to anaesthetic agent
Z88.5 Personal history of allergy to narcotic agent
Z88.6 Personal history of allergy to analgesic agent
Z88.7 Personal history of allergy to serum and vaccine
Z88.8 Personal history of allergy to other drugs, medicaments and biological substances
Z88.9 Personal history of allergy to unspecified drugs, medicaments and biological substances

Z89 Acquired absence of limb

Incl.:
loss of limb:
  • postoperative
  • post-traumatic
Excl.:
acquired deformities of limbs (M20-M21)
congenital absence of limbs (Q71-Q73)
Z89.0 Acquired absence of finger(s) [including thumb], unilateral
Z89.1 Acquired absence of hand and wrist
Z89.2 Acquired absence of upper limb above wrist
Incl.:
Arm NOS
Z89.3 Acquired absence of both upper limbs [any level]
Incl.:
Acquired absence of finger(s), bilateral
Z89.4 Acquired absence of foot and ankle
Incl.:
Toe(s)
Z89.5 Acquired absence of leg at or below knee
Z89.6 Acquired absence of leg above knee
Incl.:
Leg NOS
Z89.7 Acquired absence of both lower limbs [any level, except toes alone]
Z89.8 Acquired absence of upper and lower limbs [any level]
Z89.9 Acquired absence of limb, unspecified

Z90 Acquired absence of organs, not elsewhere classified

Incl.:
postoperative or post-traumatic loss of body part NEC
Excl.:
congenital absence - see Alphabetical Index
postoperative absence of:
Z90.0 Acquired absence of part of head and neck
Incl.:
Eye
Larynx
Nose
Excl.:
teeth (K08.1)
Z90.1 Acquired absence of breast(s)
Z90.2 Acquired absence of lung [part of]
Z90.3 Acquired absence of part of stomach
Z90.4 Acquired absence of other parts of digestive tract
Z90.5 Acquired absence of kidney
Z90.6 Acquired absence of other organs of urinary tract
Z90.7 Acquired absence of genital organ(s)
Z90.8 Acquired absence of other organs

Z91 Personal history of risk-factors, not elsewhere classified

Excl.:
exposure to pollution and other problems related to physical environment (Z58.-)
occupational exposure to risk-factors (Z57.-)
personal history of psychoactive substance abuse (Z86.4)
Z91.0 Personal history of allergy, other than to drugs and biological substances
Excl.:
personal history of allergy to drugs and biological substances (Z88.-)
Z91.1 Personal history of noncompliance with medical treatment and regimen
Z91.2 Personal history of poor personal hygiene
Z91.3 Personal history of unhealthy sleep-wake schedule
Excl.:
sleep disorders (G47.-)
Z91.4 Personal history of psychological trauma, not elsewhere classified
Z91.5 Personal history of self-harm
Incl.:
Parasuicide
Self-poisoning
Suicide attempt
Z91.6 Personal history of other physical trauma
Z91.7 Personal history of female genital mutilation
Incl.:
Female circumcision
Female genital cutting
FGM types 1-4
Z91.8 Personal history of other specified risk-factors, not elsewhere classified
Incl.:
Abuse NOS
Maltreatment NOS

Z92 Personal history of medical treatment

Z92.0 Personal history of contraception
Excl.:
counselling or management of current contraceptive practices (Z30.-)
presence of (intrauterine) contraceptive device (Z97.5)
Z92.1 Personal history of long-term (current) use of anticoagulants
Z92.2 Personal history of long-term (current) use of other medicaments
Incl.:
Aspirin
Z92.3 Personal history of irradiation
Incl.:
Therapeutic radiation
Excl.:
exposure to radiation in the physical environment (Z58.4)
occupational exposure to radiation (Z57.1)
Z92.4 Personal history of major surgery, not elsewhere classified
Excl.:
artificial opening status (Z93.-)
postsurgical states (Z98.-)
presence of functional implants and grafts (Z95-Z96)
transplanted organ or tissue status (Z94.-)
Z92.5 Personal history of rehabilitation measures
Z92.6 Personal history of chemotherapy for neoplastic disease
Z92.8 Personal history of other medical treatment
Z92.9 Personal history of medical treatment, unspecified

Z93 Artificial opening status

Excl.:
artificial openings requiring attention or management (Z43.-)
complications of external stoma (J95.0, K91.4, N99.5)
Z93.0 Tracheostomy status
Z93.1 Gastrostomy status
Z93.2 Ileostomy status
Z93.3 Colostomy status
Z93.4 Other artificial openings of gastrointestinal tract status
Z93.5 Cystostomy status
Z93.6 Other artificial openings of urinary tract status
Incl.:
Nephrostomy
Ureterostomy
Urethrostomy
Z93.8 Other artificial opening status
Z93.9 Artificial opening status, unspecified

Z94 Transplanted organ and tissue status

Incl.:
organ or tissue replaced by heterogenous or homogenous transplant
Excl.:
complications of transplanted organ or tissue - see Alphabetical Index
presence of:
  • vascular graft (Z95.-)
  • xenogenic heart valve (Z95.3)
Z94.0 Kidney transplant status
Z94.1 Heart transplant status
Excl.:
heart-valve replacement status (Z95.2-Z95.4)
Z94.2 Lung transplant status
Z94.3 Heart and lungs transplant status
Z94.4 Liver transplant status
Z94.5 Skin transplant status
Incl.:
Autogenous skin transplant status
Z94.6 Bone transplant status
Z94.7 Corneal transplant status
Z94.8 Other transplanted organ and tissue status
Incl.:
Bone marrow
Intestine
Pancreas
Stem cells
Z94.9 Transplanted organ and tissue status, unspecified

Z95 Presence of cardiac and vascular implants and grafts

Excl.:
complications of cardiac and vascular devices, implants and grafts (T82.-)
Z95.0 Presence of electronic cardiac devices
Incl.:
Presence of:
  • cardiac pacemaker
  • cardiac resynchronization therapy defibrillator (CRT-D)
  • cardiac resynchronization therapy (CRT) pacemaker
  • cardioverter-defibrillator (ICD)
Excl.:
adjustment or management of cardiac devices (Z45.0)
dependence on artificial heart (Z99.4)
Z95.1 Presence of aortocoronary bypass graft
Z95.2 Presence of prosthetic heart valve
Z95.3 Presence of xenogenic heart valve
Z95.4 Presence of other heart-valve replacement
Z95.5 Presence of coronary angioplasty implant and graft
Incl.:
Presence of coronary artery prosthesis
Status following coronary angioplasty NOS
Z95.8 Presence of other cardiac and vascular implants and grafts
Incl.:
Presence of intravascular prosthesis NEC
Status following peripheral angioplasty NOS
Z95.9 Presence of cardiac and vascular implant and graft, unspecified

Z96 Presence of other functional implants

Excl.:
complications of internal prosthetic devices, implants and grafts (T82-T85)
fitting and adjustment of prosthetic and other devices (Z44-Z46)
Z96.0 Presence of urogenital implants
Z96.1 Presence of intraocular lens
Incl.:
Pseudophakia
Z96.2 Presence of otological and audiological implants
Incl.:
Bone-conduction hearing device
Cochlear implant
Eustachian tube stent
Myringotomy tube(s)
Stapes replacement
Z96.3 Presence of artificial larynx
Z96.4 Presence of endocrine implants
Incl.:
Insulin pump
Z96.5 Presence of tooth-root and mandibular implants
Z96.6 Presence of orthopaedic joint implants
Incl.:
Finger-joint replacement
Hip-joint replacement (partial)(total)
Z96.7 Presence of other bone and tendon implants
Incl.:
Skull plate
Z96.8 Presence of other specified functional implants
Z96.9 Presence of functional implant, unspecified

Z97 Presence of other devices

Excl.:
complications of internal prosthetic devices, implants and grafts (T82-T85)
fitting and adjustment of prosthetic and other devices (Z44-Z46)
presence of cerebrospinal fluid drainage device (Z98.2)
Z97.0 Presence of artificial eye
Z97.1 Presence of artificial limb (complete)(partial)
Z97.2 Presence of dental prosthetic device (complete)(partial)
Z97.3 Presence of spectacles and contact lenses
Z97.4 Presence of external hearing-aid
Z97.5 Presence of (intrauterine) contraceptive device
Excl.:
checking, reinsertion or removal of contraceptive device (Z30.5)
insertion of contraceptive device (Z30.1)
Z97.8 Presence of other specified devices

Z98 Other postsurgical states

Excl.:
follow-up medical care and convalescence (Z42-Z51, Z54.-)
postprocedural or postoperative complication - see Alphabetical Index
Z98.0 Intestinal bypass and anastomosis status
Z98.1 Arthrodesis status
Z98.2 Presence of cerebrospinal fluid drainage device
Incl.:
CSF shunt
Z98.8 Other specified postsurgical states

Z99 Dependence on enabling machines and devices, not elsewhere classified

Z99.0 Dependence on aspirator
Z99.1 Dependence on respirator
Incl.:
Dependence on ventilator
Z99.2 Dependence on renal dialysis
Incl.:
Presence of arteriovenous shunt for dialysis
Renal dialysis status
Excl.:
dialysis preparation, treatment or session (Z49.-)
Z99.3 Dependence on wheelchair
Z99.4 Dependence on artificial heart
Z99.8 Dependence on other enabling machines and devices
Z99.9 Dependence on unspecified enabling machine and device